General Safety Checklist

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Housekeeping

• Is there dirty mop water in any buckets?

  Yes

  No

  N/A

• Are workspaces clean and orderly?

  Yes

  No

  N/A

• Are floors clear of debris?

  Yes

  No

  N/A

• Are aisles, hallways, and exits free of obstruction?

  Yes

  No

  N/A

• Are floor surfaces dry and free of slip hazards?

  Yes

  No

  N/A

• Are materials stored securely and limited in height to prevent collapse?

  Yes

  No

  N/A

• Are ladders stored properly?

  Yes

  No

  N/A

Chemical Safety

• Are all hazardous materials properly stored and labeled?

  Yes

  No

  N/A

• Are MSDS/SDS Books visible and accessible?

  Yes

  No

  N/A

• Do team members know where the MDSD/SDS Books are stored? (Have someone show you)

  Yes

  No

  N/A

Emergency Systems

• Are Emergency Exits signs in working order?

  Yes

  No

  N/A

• Are emergency exit maps posted and clearly marked?

  Yes

  No

  N/A

• Are emergency exits free from obstructions?

  Yes

  No

  N/A

• Are stairway doors closed?

  Yes

  No

  N/A

• Are corridors and stairwells clear of debris and not used for storage?

  Yes

  No

  N/A

• Is emergency lighting in working order?

  Yes

  No

  N/A

• Is 18" of vertical clearance maintained below all sprinkler heads?

  Yes

  No

  N/A

• Are fire extinguishers current on inspection?

  Yes

  No

  N/A

• Do fire extinguishers show as charged and in designated locations?

  Yes

  No

  N/A

• Are combustibles stored near electrical or heat sources?

  Yes

  No

  N/A

• Is 36" clearance maintained in front of electrical panels?

  Yes

  No

  N/A

• Are power cords/strips used as designated? (No daisy chains, extension cords not used as permanent option)

  Yes

  No

  N/A

• Are all ANSUL valves covered over fryers and grills?

  Yes

  No

  N/A

• Comments:

• Select date

  Date

• Person Completing Inspection

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• Select date

  Date

• Other Persons Involved in Completing Inspection

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