Is there adequate lighting?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Lights have adequate guarding?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Verify emergency lights are working properly?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Emergency evacuation route is posted?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
First aid kits are stocked and readily available?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Fire extinguishers are readily accessible?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Fire extinguishers are in compliance?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Refrigerator, coffee pot and microwave are clean?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Housekeeping in office is acceptable?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Walkways are free of clutter?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Proper storage of material (overhead)?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Proper trash containers with lids?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Ground checks are current?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
GFCI protection on outlets?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
All distribution circuits are properly labeled?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
All breakers, controls and switches are properly labeled?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
As there any missing knock-outs?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
As there any missing knock-outs?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Are there any spills or debris present?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Are all equipment / area guards in place and effective?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Are hand tools properly stored?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Are hand tools in good condition?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Proper PPE readily available and being utilized by employees?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Is the area free of combustibles?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Are ladders / stools in good condition and inspected properly?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Are doors and windows in good condition?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Heating and cooling systems working properly?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Is garbage management in place and effective?
Environmental
Health (dust, noise)
Improve Safety
Positive Recognition
Housekeeping
Completion Date:
Auditor(s) Signature
Sign
Revision 1.0 iCloud posted document is the controlled copy. 07/02/13
link copied
Jeff Boothe
FMSO Maintenance Supervisor Office Bldg.
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.