General Workplace Inspection

• Weekly Safety Inspection

• Client / Site

• Conducted on

  Date

• Prepared by

• Location

  Select Building 1& 2 Building 3 & 4 Building 5 & 6 Building 7 & 8

  • Building 1& 2
  • Building 3 & 4
  • Building 5 & 6
  • Building 7 & 8

• Personnel

1.0 - Weekly General Inspection

• 1.1 - Has the last inspection been submitted?

  Yes

  No

  N/A

• 1.2 - Are there no outstanding actions?

  Yes

  No

  N/A

2.0 - Fire Prevention

• 2.1 - Do all classrooms doors and doors on and Egress Corridor close and securely latch on its own?

  Yes

  No

  N/A

• 2.2 - Are any doors held open by devices that won't release the door when fire alarm is activated?

  Yes

  No

  N/A

• 2.3 - Are all Entrance/Exit doors to Egress hallways fully operational and with appropriate Fire Ratings?

  Yes

  No

  N/A

• 2.4 - Do doors and frames have the fire rating tag? No holes or breakage in the door

  Yes

  No

  N/A

• 2.5 - Do Fire maps include: a-Primary and Secondary escape routes; b-"You are here" mark; c-location of pull stations and fire extinguishes along primary and secondary escape routes?

  Yes

  No

  N/A

• 2.6 - Are all panic bars in good condition and operational?

  Yes

  No

  N/A

• 2.8 - Are all Exit Lights operational and showing proper directional arrows when appropriate ?

  Yes

  No

  N/A

• 2.7 - Are all Emergency Lights in good condition and operational?

  Yes

  No

  N/A

3.0 - General Lighting and Electrical

• 3.1 - Do all electrical panels have 3 foot entry way to the panel?

  Yes

  No

  N/A

• 3.3 -Are Extension Cords being used in place of permanent electrical circuits?

  Yes

  No

  N/A

• 3.4 - Are any missing lens cover on ceiling/overhead study lights?

  Yes

  No

  N/A

• 3.5 - Are all Egress Light Fixtures operational?

  Yes

  No

  N/A

4.0 - General Safety

• 4.1 - Are all ceiling tiles in place and do not have ahole or crack greater than 1/8"?

  Yes

  No

  N/A

• 4.2 - Are any tiles missing from the floor or wall?

  Yes

  No

  N/A

• 4.3 - Are areas free of tears, bumps, sags or uncover cords on carpet/floors that causes a tripping hazard?

  Yes

  No

  N/A

• 4.4 - Are doors and windows without broken/cracked glass?

  Yes

  No

  N/A

• 4.5 - Are materials stacked within 18" vertically or 36" horizontally of a sprinkler head?

  Yes

  No

  N/A

• 4.6 - If any cracks in sidewalks, are they 1/4" or less?

  Yes

  No

  N/A

• 4.7 - Are floors clears of water/liquids?

  Yes

  No

  N/A

5.0 - Chemical Material Safety

• 5.1 - Are cleaning materials out classrooms or left unattendend in public areas?

  Yes

  No

  N/A

• 5.2 - Are all flammable and hazard materials properly stored. When not in use (flammable and hazard materials cabinets closed at all times)?

  Yes

  No

  N/A

• 5.3 - Are all flammable and hazardous cabinets vented to the outside?

  Yes

  No

  N/A

• 5.4 - Are all janitor, elevator, and mechanical room doors closed and locked?

  Yes

  No

  N/A

• 5.5 - Are all GFCI Receptacles operational?

  Yes

  No

  N/A

Sign Off

• Building representative/manager

  Sign

• Safety officer's signature

  Sign

• Center Director

  Sign

• Auditor's signature

  Sign

• Auditor's signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign