HTC -- ADMINISTRATIVE SUPPORT

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Dept Safety meeting with quiz completed for month.<br>

  Yes

  No

  N/A

• New Injury or Damage Incidents to report (called in w/in 24 hours).<br><br>

  Yes

  No

  N/A

• New Injury or Damag Incident Investigation Reports (turned in w/in 2 days)<br><br>

  Yes

  No

  N/A

• Emergency Preparedness Plan and Employee Call Roster (understood & current)<br><br>

  Yes

  No

  N/A

• Hazmat Emergency Response Handbook (on-hand & current).<br><br>

  Yes

  No

  N/A

• MSDS Binder location and purpose (understood by staff).<br><br>

  Yes

  No

  N/A

• MSDS (Material Safety Data Sheets) Binder (updated as necessary)<br><br>

  Yes

  No

  N/A

• Fire extinguishers unobstructed and tag current (checked monthly).<br><br>

  Yes

  No

  N/A

• Fire Exits (not blocked).<br><br>

  Yes

  No

  N/A

Office Furniture, Equipment & Supplies

• desk & file drawers<br>

  Safe

  At Risk

  N/A

• upper drawers on file cabinets<br>

  Safe

  At Risk

  N/A

• defective chairs, desks & other equipment<br>

  Safe

  At Risk

  N/A

• paper cutter spring<br>

  Safe

  At Risk

  N/A

• binders, file folders, paper materials<br>

  Safe

  At Risk

  N/A

• step ladders<br>

  Safe

  At Risk

  N/A

Office Stairways, Aisles & Floors

• clear of obstructions (wastebaskets, boxes) and debris

  Yes

  No

  N/A

• all aisle clearances adequate for 2-way traffic<br>

  Safe

  At Risk

  N/A

• stairways have effective handrails<br>

  Safe

  At Risk

  N/A

• trip hazards from electrical and phone wires along the floor<br>

  Safe

  At Risk

  N/A

• carpets, floor mats not torn, badly worn or curled<br>

  Safe

  At Risk

  N/A

Office Equipment

• lighting<br>

  Safe

  At Risk

  N/A

• extension cords used on a permanent basis<br>

  Safe

  At Risk

  N/A

• frayed electrical cords, loose outlet plates<br>

  Safe

  At Risk

  N/A

• office machines, coffee pot, refrigerator<br>

  Safe

  At Risk

  N/A

• temporary extension cords not placed thru doorways / under rugs<br>

  Safe

  At Risk

  N/A

Office Employee Weekly Reminders

• Do not move furniture or heavy objects alone--ask for help<br>

  Yes

  No

  N/A

• Watch where they are going around corners & doorways<br>

  Yes

  No

  N/A

• No running or horseplay<br>

  Yes

  No

  N/A

• Observed Unsafe Conditions / Actions (Hazard / Near-Miss Reports)<br>

  Yes

  No

  N/A

• Restrooms<br>

  Safe

  At Risk

  N/A

• Other observations (note)

• Photo(s)

  Media

• Name & Signature of Inspector

  Sign

• Date & Time of Inspection

  Date

• Safety Manager's Notes