Information
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Document No.
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Audit Title
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Conducted on
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Prepared by
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Is the emergency/lockdown information posted?
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Is the fire exit/alternate exit information posted?<br>
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Is the emergency exit information available?<br>(Red binder, class lists, etc.)
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Is there a current latex-free blood kit available at the entry?<br>(Gloves, plastic bags, paper towels)
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If non-compliant, what is missing?
- Gloves
- Paper Towel
- Plastic Bags
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Are black out materials available for all exterior lines of sight?<br>(Are the blinds functional?)
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Is there a functioning phone in the room?
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Does the phone have emergency contact numbers available?
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Are ceiling tiles/wall coverings in good repair?<br>(Without damage, mould, or water marks)
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Is lighting adequate and in good repair?<br>(Are there bulbs or covers missing)
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Are heat detectors present and functional?
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Is there an occupancy sensor and is it functional?<br>(Red light will come on)
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Are overhead screens, curtains/blinds, and media equipment secured?
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Are bookshelves and large filing cabinets secured to a wall?
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Are heavy/bulky items stored on lower shelves?<br>(Boxes of paper, etc.)
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Is equipment stored in such a way to prevent trips/cuts/personal injury?
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Are safeguards provided for hazardous equipment?<br>(ie: paper cutters)
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Is a CSA approved stepladder available to reach high areas?
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Are walls and doors free of fire bridges?
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Are heater intakes and radiators free of obstruction?
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Are insulated pipes wraps and/or 9" floor tiles present?
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If yes, is there and sign of damage or potential for friable material?
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Are floor tiles and rugs clean and in good repair?
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Is there any evidence of punctures or damage to walls, ceiling materials, or floors?
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Are the windows and/or screens in good repair?<br>(Record any missing screens)
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Are there any apparent issues involving electrical devices?
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Are there excessive wires/power bars that could create a safety issue?
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Are electrical outlets in good repair?
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Is there a minimum of 1 meter of clearance in front of electrical panels?
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Are all breakers/fuses properly labelled?
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Are there any chemicals, including cleaning agents/sanitizers, present? (Include pictures of chemicals)
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Add media
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Are all chemicals, including cleaning agents/sanitizers, properly labelled?<br>
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Are there any housekeeping issues in this room?
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Use this area to record any additional issues/comments.