Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

Safety EC.2.1 Performance Standards.

  • Work areas clean and orderly?

  • No tripping hazards?

  • Floors clean and dry?

  • Furniture free of jagged edges an corners?

  • Storage room clean and safe?

Security E.C. 2.2 Performance Standards

  • All staff wearing ID Badges ?

  • All doors locks functioning properly?

  • Sensitive areas secured?

Hazardous Material & Waste E.C. 2.3

  • Hazardous Materials stored properly?

  • No unlabeled containers?

  • PPE available for staff?

Emergency Preparedness E.C. 2.4

  • All staff know where the emergency plans are located?

Life Safety E.C. 2.5

  • All sprinklers unobstructed / unpainted?

  • Fire extinguishers in designed cabinets/locations?

  • Fire extinguishers inspection tags complete?

  • All staff have fire keys?

  • All emergency exit signs working and visible?

  • No exits are obstructed?

  • No extension cords used as permanent wiring?

  • No objects stored within 18 inches of ceiling?

  • No penetrations in ceiling, walls, or floors?

  • No doors propped open?

  • No outlet boards on the floor?

  • All lint traps on dryers clean?

Medical Equipment E.C.2.6

  • All medical equipment inspected?

Utility Systems E.C.2.7

  • All lights working?

  • No dripping faucets or pipes?

  • All outlets working and in good repair?

Physical Environment E.C 2.8

  • Ceiling and walls in good repair?

  • All areas maintained and in good repair?

  • All waste receptacles clean, sanitary, covered?

Housekeeping

  • Vents dust free?

  • Washers/dryers clean (log signed)?

  • Housekeeping closets locked?

  • Housekeeping cart attended or unattended?

  • Chemicals or supplies on top of cart?

  • Wet floor sign used if mopping?

  • Pest sightings?

Outdoor areas

  • Front entrance neat and free of trash?

  • Soffit lights free of debris and working?

  • Fenced area clean of trash.

  • Fencing in good repair and securely fastened to frame?

  • Pavilion in good repair?

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.