Fire, Safety, and Sanitation Report

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Fire Safety

• All fire extinguishers have a current annual inspection by a licensed service technician.

  Yes

  No

  N/A

• Date the fire extinguishers were inspected.

  Date

• Emergency doors open properly, electronically and with keys.

  Yes

  No

  N/A

• Exit signs work properly.

  Yes

  No

  N/A

• Automatic Fire Alarm is visual inspected daily.

  Yes

  No

  N/A

• Automatic Fire Alarm has current annual inspection by a licensed service technician.

  Yes

  No

  N/A

• Date the Fire Alarm was annual inspection by a licensed service technician.

  Date

• All fire hazards observed (frayed wires, overloaded receptacles, etc.) have been corrected or made safe.

  Yes

  No

  N/A

• All receptacles and electrical devices are in working order.

  Yes

  No

  N/A

• A fire drill has been conducted in the last thirty days.

  Yes

  No

  N/A

Safety

• Firearm storage is operational and proper key control is in place for stored weapons?

  Yes

  No

  N/A

• Proper key control is practiced in the facility and all keys are accounted for and secure.

  Yes

  No

  N/A

• Communication device and emergency equipment are in working order including: telephones, radios, panic alerts, and emergency control shut downs?

  Yes

  No

  N/A

• Housing areas searched prior to offenders movement (Bunk or cell)?

  Yes

  No

  N/A

• No evidence of tampering with walls, locks, vents or any other areas of the housing area.

  Yes

  No

  N/A

• Proper tool control is practiced in the facility and all tools and culinary equipment are accounted for and secure?

  Yes

  No

  N/A

• First aid kit are adequately supplied and placed in proper areas of the facility.

  Yes

  No

  N/A

Sanitation

• Chemicals or cleaning solutions are properly secured,

  Yes

  No

  N/A

• Chemicals or cleaning solutions use are properly log and an inventory is conducted by each shift.

  Yes

  No

  N/A

• Lavatories, showers, drains, water fountains, and toilets work properly and there is no other water problems or leaks.

  Yes

  No

  N/A

• Lavatories, showers, drains, and toilets are clean.

  Yes

  No

  N/A

• Lighting fixtures are working properly and all light bulbs are working.

  Yes

  No

  N/A

• Floors, walls, and closets are clean and proper waste control is being practiced.

  Yes

  No

  N/A

• Floors, walls, and closets are painted and the paint is in good condition (No paint is peeling or waring).

  Yes

  No

  N/A

• Pest or vermin control is being practiced and there is no infestations.

  Yes

  No

  N/A

• Inspector's Signature

  Sign

• Date and Time:

  Date