Facility Rounds for Lafayette

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Egress

• Are corridors free from clutter?

  Pass

  Fail

  N/A

• Are Exit Signs clearly identified?

  Pass

  Fail

  N/A

Safety

• Are there any stained or compromised ceiling tiles?

  Pass

  Fail

  N/A

• Are there any holes in the walls?

  Pass

  Fail

  N/A

• Are there any broken/damaged floor tiles?

  Pass

  Fail

  N/A

• Are the wire chase for the cable TV intact?

  Pass

  Fail

  N/A

• Are the lights all working?

  Pass

  Fail

  N/A

• Are the fire extinguishers not blocked?

  Pass

  Fail

  N/A

• Are the fire pull stations not blocked?

  Pass

  Fail

  N/A

• Are there any damaged/missing electrical devices/covers?

  Pass

  Fail

  N/A

• Is there storage in the electrical closets?

  Pass

  Fail

  N/A

• Any other miscellaneous items?

  Yes

  No

  N/A