Title Page
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Instructions
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1. Answer "Yes", "No", or "Safe", "At Risk", "N/A" for the questions below
2. Add any photos and notes by clicking on the paperclip icon
3. To create and assign a corrective action click on "Add Action", provide a description, assign to a member, set priority and due date
4. Complete audit by providing digital signature
5. Send your report by exporting as PDF, Word Doc, Excel or via Web Link
Chemical Safety, Storage & Hazardous Materials
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Flammable/combustible liquids not stored/kept near exits
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Quantities >10 gals stored in cabinets
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No basement storage unless sprinklered
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Storage exceeds Maximum Allowable Quantities
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Compressed gas cylinder security
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Labels accurate/current
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Proper separation of incompatible chemicals
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Shelving equipped with restraints from falling
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Sash closed when fume hood unattended
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Compressed gas cylinders secured with chain
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All chemicals properly labeled
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All chemicals dated when first opened
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Chemicals shall not be stored in fume hood
Construction Features & Fire Resistance
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Fire rated construction present/maintained
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Rated fire doors operational & not blocked
Exiting & Egress
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Exits, aisles and corridors free of obstructions
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Adequate number of exits
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Exit signage present & operable
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Emergency lighting present & operational
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Exit corridors rated
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Vertical openings of 2 or more stories shall be protected
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Vertical openings of 3-5 stories protected with sprinklers
Electrical
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Electrical hazards
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Electrical appliances, fixtures, cords in good condition
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Multiplug adapters
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Extension cords not a substitute for permanent wiring
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36" clearance for electrical panels
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GFCI outlets near water source
Elevator Machine Room
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Free of storage
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Portable fire extinguisher
Kitchen Extinguishing & Suppression Systems
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Kitchen hood system fuel shutoff
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Kitchen hood suppression system maintained
Occupant Load
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Occupant load exceeded
Portable Fire Extinguishers
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Readily accessible, not obstructed
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Travel distance not exceeded
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Tested/inspected annually
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Extinguishers must be mounted
Sprinker Systems
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Controls are readily accessible
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Wrench & spare sprinklers available
Storage
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Storage neat & orderly
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Combustibles prohibited in mechanical/electrical rooms
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Attic storage prohibited if unprotected
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Concealed space storage prohibited if unprotected
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Storage maintained, <2" ceiling unsprinkled, <18" sprinkled
Sign off
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Inspected by