Information
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Document No.
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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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Personnel
Main Entrance
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Stairs unobstructed and handrails in good condition?
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Exterior lighting function?
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Entrance housekeeping complete?
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Exit Sign Illuminated?
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Doors free of obstruction?
Main Hallway
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Exit Sign Illuminated?
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Smoke detector in hot water closets - light green and in ready state?
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Fire Extinguishers present and ready?
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Emergency lighting working?
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Midway exit clear and clean with signage?
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Water Cooler area clean and free of obstructions?
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Furnace and hot water closets locked?
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Furnace and hot water closets free of combustible material?
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Storage/boot room clean?
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Doors to rooms closed?
Laundry Room
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Door closed?
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Housekeeping complete?
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MSDS binders present and up-to-date?
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Lint removed from dryers?
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Chemicals stored properly?
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Eyewash station mounted and visible?
Housekeeping Room
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Spray bottles properly labelled?
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Room clean and orderly?
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Cart in good working order?
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MSDS binder present and up to date?
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PPE available (Gloves, masks, glasses)?
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No personal luggage stored in room?
Mechanical/Electrical room
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Room free and clear of debris?
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Chemicals stored on floor next to the sink?
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Mops hanging on proper hangers?
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Water tanks clean and clear?
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Carbon monoxide detector green and not beeping?
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Fire Extinguisher inspected (monthly), ready and available for use?
General observations
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General observation
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What an FLRA Audit done on this dorm?
Corrective Actions Required
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Action Owener Due Date
Inspection review
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Front Line Supervisor Review
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Management Review
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HSE Review
