Information
IAEC MONTHLY OFFICE INSPECTION
-
Conducted on
-
Prepared by
EMERGENCY EVACUATION PLAN
-
Evacuation plan displayed?
-
Exit lights functioning properly?
-
Exits clear of obstructions?
FIRE EXTINGUISHERS
-
Extinguishers in place and clearly marked for type of fire?
-
Extinguishers monthly inspection complete? List location(s) of extinguisher(s) below. Include a picture of the FE for each location.
-
Add media
-
Add media
-
Add media
-
Add media
-
Add media
-
Add media
-
Add media
-
Add media
-
Add media
-
Add media
-
Extinguishers yearly inspection complete?
-
Extinguishers clear of obstructions?
-
I certify that I have personally inspected or verified that each FE has a valid inspection completed
-
Add signature
General Lighting
-
Bulbs or fixtures needing replacement?
-
Emergency lighting operable?
GENERAL HOUSEKEEPING
-
Entries and walkways free of trip hazards?
-
Extension cords in good condition?
-
Are railings in good condition?
-
Space heaters being used?
-
Sharps are guarded/locks in place?
-
Kitchen areas well kept?
-
All doors to offices/rooms clearly marked?
-
Shelving and storage racks organized and free of falling hazards?
CHEMICALS
-
Safety Data Sheets are available for all chemicals?
-
MSDS Online is being used?
-
All containers labeled correctly?
-
All chemicals stored properly?
LADDERS
-
Are all ladders properly identified with weight capacity rating and mfg information?
-
I have listed the location, the unique identification and a picture of each ladder below?
-
Add media
-
Add media
-
Add media
-
Add media
-
Add media
-
Add media
-
Add media
-
Add media
-
Add media
-
Add media
-
Are ladders in good condition?
-
If used for electrical work are they non conductive?
-
Are ladders properly secured when not in use?
-
I certify that I have personally inspected each of the ladders identified above
-
Add signature
FIRST AID - BIO HAZARD - AED
-
Monthly inspection of first aid contents complete and compliant?
-
Add media
-
Monthly inspection of bio hazard contents complete and compliant?
-
Add media
-
AED batteries ok?
-
Add media
-
Easy access to first aid kit, bio hazard kit and AED?
-
Location of each clearly marked?
-
I certify that I have personally inspected or verified that each FA, BIO Haz kit and AED has a valid inspection completed
-
Add signature
-
Auditor's signature
-
Select date