Check fire extinguisher for compliance inspection.
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Is fire extinguisher easily accessible with nothing blocking access?
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Inspect for adequate lighting.
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Emergency lights checked and working properly?
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Inspect all lights for proper guarding.
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Inspect propane tank.
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Check for spills and leaks.
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Inspect GEN SET, (Flammable legible)
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Voltage?
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
First aid kits stocked and readily available?
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Housekeeping
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Proper labeling?
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Check steps, guarding and handrails if applicable.
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Are walkways free of clutter?
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Are there proper trash cans provided with lids?
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Is there evidence of proper garbage management in place?
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Are all electrical checks current?
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Is there GFCI protection on required outlets?
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Are all distribution circuits labeled properly?
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Breakers, controls and switches labeled correctly?
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Are there any missing knock-outs?
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Are all equipment / area guards in place and effective?
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Are all power cords in good condition?
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Is all fixed equipment clean and clear access provided?
Environmental
Health (dust, noise, fumes)
Improve Safety
Positive Recognition
Housekeeping
Compliance Date:
Auditor(s) Signature
Sign
Revision 1.0 iCloud posted document is the controlled copy. 07/03/13
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Jeff Boothe
FMSO Cottonwood Repeater
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions.
The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction.
You should independently determine whether the template is suitable for your circumstances.