Interior preventive maintenance

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Safety checklist

• Fire extinguishers are inspected and in good condition?

  Yes

  No

  N/A

• Safety signs are present and in good condition? Signs are legible and in view?

  Yes

  No

  N/A

• Exits signs are in place. All exits and travel paths identified with illuminated signs. Battery backup and light works?

  Yes

  No

  N/A

• Exits- operational and unlocked. Free of obstructions

  Yes

  No

  N/A

• Eye wash stations. Inspect for leaks, corrosion,stoppage and odor

  Yes

  No

  N/A

• Evacuation diagrams posted throughout the building.

  Yes

  No

  N/A

• Smoke alarms are operational. New batteries etc.

  Yes

  No

  N/A

• AED is available and inspected?

  Yes

  No

  N/A

• First aid stations are available and in good order

  Yes

  No

  N/A

• Flame storage cabinet- vented, clean, locked

  Yes

  No

  N/A

Electrical

• Electrical rooms are clean and unobstructed? 36" clearance around panels

  Yes

  No

  N/A

• Panels are labeled with warning and danger signs?

  Yes

  No

  N/A

• Panels are in good shape, no open areas, no exposed wires?

  Yes

  No

  N/A

• Lockout tag outs are available?

  Yes

  No

  N/A

• Receptacles- inspect for damage and proper operation

  Yes

  No

  N/A

• GFI-provided on circuits in proximity to water

  Yes

  No

  N/A

• Electrical switches are operational

  Yes

  No

  N/A

• No extension cords are in permanent use

  Yes

  No

  N/A

• Yes

  No

  N/A

Lighting

• Adequate lighting for work stations

  Yes

  No

  N/A

• All lights bulbs are working

  Yes

  No

  N/A

• Check for cracks in covers

  Yes

  No

  N/A

• Blast proof covers where needed

  Yes

  No

  N/A

General building

• Walls are clean and in good shape

  Yes

  No

  N/A

• Tile and carpet- look for loose or broke tile. Look for unraveled or damaged carpet. Threshold are properly secured.

  Yes

  No

  N/A

• All transitions in walkways are in good shape. Check for cracks,breaks, ends sticking up.

  Yes

  No

  N/A

• Doors- open and close properly. All hardware operational. No missing hardware or screws

  Yes

  No

  N/A

• Counters- check for cracks and breaks

  Yes

  No

  N/A

• Yes

  No

  N/A

Bathrooms

• Sinks- check for stoppage, corrosion and odors. Check for drips and leaks

  Yes

  No

  N/A

• Toilets- check for secure toilet seats, corrosion, proper flushing and odors

  Yes

  No

  N/A

• Urinals- check for proper flushing, drain obstructions, and corrosion of plumbing

  Yes

  No

  N/A

• Soap dispensers- operability

  Yes

  No

  N/A

• Stall petitions- check all hardware and make sure doors close and lock. Toilet paper holders are secure and operational.

  Yes

  No

  N/A

• Bathroom exhaust- check if fan is clean, strange noises and good air flow

  Yes

  No

  N/A

• Floor drains are clean and unobstructed

  Yes

  No

  N/A

• Trash cans are available

  Yes

  No

  N/A

• Paper towels or hand drying equipment is available. Toilet paper is available.

  Yes

  No

  N/A

• Hot water tank- check for leaks, and corrosion. Check secondary pan and pressure relief valve.

  Yes

  No

  N/A

• Check on demand water heaters. Make sure low flow screen are in place and not clogged. Check for hot water.

  Yes

  No

  N/A

Appliances

• Ice machine- check for cleanliness and proper ice making

  Yes

  No

  N/A

• Stoves and ranges- check cleanliness. Look for cracked covers and missing knobs. Make sure all types of burners work. Check for burned wires

  Yes

  No

  N/A

• Hood fans- check filters, venting and grease build up

  Yes

  No

  N/A

• Refrigerators- check seals and drain tubes. Check for cleanliness.

  Yes

  No

  N/A

Air conditioner

• Check air filters. Inspect for damage, icing, noise, and leaks. Clean coils. Check drain lines and secondary pan for water

  Yes

  No

  N/A

Storage areas

• Limited to designated areas

  Yes

  No

  N/A

• Proper shelving provided?

  Yes

  No

  N/A

• Shelves labeled with weight rating?

  Yes

  No

  N/A

• Check for overhanging boxes and merchandise. Check for over weight items.

  Yes

  No

  N/A

• Step ladder available?

  Yes

  No

  N/A

• Hand truck available and in good condition?

  Yes

  No

  N/A

• Storage areas are neatly arranged and secured

  Yes

  No

  N/A

• Yes

  No

  N/A

Automatic doors

• Check for proper operation, missing hardware, and obstructions in track. Consult a professional company to do detailed inspection.

  Yes

  No

  N/A