Information
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Document No.
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Conducted on
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Personnel
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Are the handrails leading up to the main entrance of the plant free from damage?
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Can or did you fix the problem?
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Who did you contact?
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As you enter the main entrance, is the exit sign working properly?
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Can or did you fix the problem?
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Who did you contact?
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Is the lighting in the foyer working properly?
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Can or did you fix the problem?
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Who did you contact?
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Proceed through the west door into the office hallway. Is the lighting in the offices and hallway working properly?
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Can or did you fix the problem?
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Who did you contact?
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As you enter Room 106, are the exit signs above both doors working properly?
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Can or did you fix the problem?
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Who did you contact?
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On the west wall of Room 106, is E-light EL-103 working properly?
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Can or did you fix the problem?
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Who did you contact?
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In the north hallway, next to Room 104, is E-light EL-102 working properly?
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Can or did you fix the problem?
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Who did you contact?
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Is fire extinguisher F-03 in its signaled location, unblocked, fully charged and pin/seal intact?
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Can or did you fix the problem?
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Who did you contact?
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Moving west into the open office area, is the lighting working properly?
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Can or did you fix the problem?
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Who did you contact?
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Along the north wall, above the door to Room 116, is E-light EL-101 working properly?
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Can or did you fix the problem?
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Who did you contact?
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On the west side of the room, is E-light EL-105 working properly?
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Can or did you fix the problem?
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Who did you contact?
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Just beyond the Scheduling Office, is the exit sign above the exit door working properly?
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Can or did you fix the problem?
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Who did you contact?
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As you enter the Scheduling Office, is the lighting in Room 118 working properly?
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Can or did you fix the problem?
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Who did you contact?
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Is the lighting in Room 119 working properly?
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Can or did you fix the problem?
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Who did you contact?
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Is the lighting in Room 120 working properly?
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Can or did you fix the problem?
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Who did you contact?
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Next to the window on the north wall, is fire extinguisher SCH-1 in its signaled location, unblocked, fully charged and pin/seal intact?
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Can or did you fix the problem?
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Who did you contact?
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Move back into the open office area and into the Phone Room 117. Is fire extinguisher PH-1 in its signaled location, unblocked, fully charged and pin/seal intact?
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Can or did you fix the problem?
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Who did you contact?
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Is the lighting in Room 117 working properly?
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Can or did you fix the problem?
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Who did you contact?
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Exit the Phone Room and proceed to Room 112. Is the lighting working properly?
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Can or did you fix the problem?
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Who did you contact?
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Move south into the Mail Room. Is the lighting working properly?
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Can or did you fix the problem?
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Who did you contact?
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Is fire extinguisher FO-1 in its signaled location, unblocked, fully charged and pin/seal intact?
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Can or did you fix the problem?
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Who did you contact?
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Proceed to the south side of the room and into the south hallway. Is the lighting in the offices and hallway working properly?
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Can or did you fix the problem?
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Who did you contact?
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Proceeding east down the hallway, is E-light EL-104 working properly?
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Can or did you fix the problem?
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Who did you contact?
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To the east of Room 107, is fire extinguisher FO-2 in its signaled location, unblocked, fully charged and pin/seal intact?
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Can or did you fix the problem?
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Who did you contact?
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At the east end of the hallway, in the women's restroom, is E-light EL-121 working properly?
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Can or did you fix the problem?
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Who did you contact?
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In the men's restroom, is E-light EL-122 working properly?
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Can or did you fix the problem?
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Who did you contact?