Title Page

  • Conducted on

  • Prepared by

  • Client / Site

  • Location
  • Personnel

  • Is the ceiling clean and in good condition?

  • Are all the lights clean and in good operating condition?

  • Is the floor clean and in good condition?

  • Are the vertical surfaces clean and in good condition?

  • Is the glass clean?

  • Are the doors and door frames clean and in good operating condition?

  • If there are electrical panels, are they locked?

  • When in the elementary schools, do the electrical outlets have covers on them?

  • If there is a fire extinguisher is it fully charged and inspected?

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