ITSTL -Office, Gate, Break-Locker Room Inspections Monthly

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ITS Technologies & Logistics Monthly Inspections

• Office, Gate House, Locker Rooms and Break Rooms

• Division

  In-Terminal

  AAW

  CGI

  ACS

• Location / Site

• GPS - Location
  Address

• For Month Of:

• Conducted on

  Date

• Prepared by - Full Name

• Employee Number

• Location of all Inspected

  Select Office Gate House Area Break Room Locker Room

  • Office
  • Gate House Area
  • Break Room
  • Locker Room

ITS Technologies & Logistics Monthly Inspections

Office, Gate House, Locker Rooms and Break Rooms - Self Inspection Checklist

• Guidelines: During the inspection of the designated area, complete the checklist below. Check N/A if the item does not apply. Note: Please add pictures for areas in need of corrective actions

A. Basic Life Safety

• 1. Are exit signs illuminated and visible? <br>

  Yes

  No

  N/A

• 2. Are corridors and exits free from obstructions and unlocked?

  Yes

  No

  N/A

• 3. Access to exit doesn’t require travel through high hazard area?

  Yes

  No

  N/A

• 4. Stairways are in good repair with handrails and non-slip tread?<br>

  Yes

  No

  N/A

• 5. Stairways are not being used for storage?

  Yes

  No

  N/A

• 6. Stairway steps are uniform in size?

  Yes

  No

  N/A

• 7. Is the Emergency Evacuation Route & Action Plan posted?

  Yes

  No

  N/A

• 8. Are exit doors closed and not propped open?

  Yes

  No

  N/A

• 9. Is there no obvious damage to sprinklers?

  Yes

  No

  N/A

• 10. Are fire extinguishers easily accessible, checked monthly, and operational?

  Yes

  No

  N/A

• 11. Are fire extinguishers mounted so that the travel distance from employees to any extinguisher is 75 feet or less?

  Yes

  No

  N/A

Comments - Corrective Action:

B. General Health - Safety

• 1. Are aisles, doorways and corners free of obstructions to permit visibility and movement?

  Yes

  No

  N/A

• 2. Lighting in work areas and walkways adequate?

  Yes

  No

  N/A

• 3. Are chairs in safe condition and are caster, rungs and legs sturdy?

  Yes

  No

  N/A

• 4. Are all equipment and supplies in their proper places?

  Yes

  No

  N/A

• 5. Is there adequate walking and egress clearance?<br>* 44” for corridors and stairways.<br>* 36” for aisles.<br>* 32” for doors.

  Yes

  No

  N/A

• 6. Are lunch tables, fridges, microwaves, and ice machines clean / sanitary?

  Yes

  No

  N/A

• 7. Is housekeeping being adequately maintained?

  Yes

  No

  N/A

• 8. Are locker rooms, showers and toilets clean / sanitary?

  Yes

  No

  N/A

• 9. Are lockers and selves secured from tipping?

  Yes

  No

  N/A

Comments - Corrective Action:

C. Slip, Trip, Fall Hazards

• 1. Is the floor surface level and undamaged?

  Yes

  No

  N/A

• 2. The floor is not wet or slippery?<br>* A warning sign is available in case of spills?<br> * Cleanup supplies are readily available?<br> * Non-slip mats are in entryways if needed?

  Yes

  No

  N/A

• 3. Are carpeted areas clean, carpets secured to floor and free of worn or frayed seams?

  Yes

  No

  N/A

• 4. Is any equipment or supplies protruding into walkways?

  Yes

  No

  N/A

• 5. Are there cords or cables causing a trip hazard?

  Safe

  At Risk

  N/A

• 6. Are permanent use cords covered by runners when crossing walkways?

  Yes

  No

  N/A

• 7. Is a step stool or ladder available to minimize the use of chairs for reaching high objects?

  Yes

  No

  N/A

Comments - Corrective Action:

D. Electrical

• 1. Are GFCI outlets within 6 feet of a water source?

  Yes

  No

  N/A

• 2. Is access to electrical panels or electrical room unobstruction (at least 36”)?

  Yes

  No

  N/A

• 3. Are outlets overloaded?

  Safe

  At Risk

  N/A

• 4. Extension cords are not used in lieu of fixed wiring?

  Yes

  No

  N/A

• 5. A maximum of one power strip per electrical receptacle is used? (no daisy chains)

  Yes

  No

  N/A

• 6. Electrical cords and plugs are in good condition? (i.e., not frayed, taped, spliced, or missing ground prongs)

  Yes

  No

  N/A

• 7. Electrical receptacles are in good working condition?

  Yes

  No

  N/A

• 8. All electrical equipment in good working condition?

  Yes

  No

  N/A

• 9. Are electrical closets free of storage?

  Yes

  No

  N/A

• 10. Are personal appliances such as space heaters or coffee makers compliant with the buildings electrical circuit system?

  Yes

  No

  N/A

• 11. Are space heaters equipped with a multi-directional tip-over switch?

  Yes

  No

  N/A

• 12. Are space heaters equipped with an overheat sensor?

  Yes

  No

  N/A

Comments - Corrective Action:

E. Maintenance (Inside & Outside)

• 1. Are doors and locks in good working order?

  Yes

  No

  N/A

• 2. Are ceiling tiles intact, undamaged and in place?

  Yes

  No

  N/A

• 3. Are there no signs of weather damage or mold growth in the facility?

  Yes

  No

  N/A

• 4. Are all windows unbroken and free from any type of damage?

  Yes

  No

  N/A

• 5. Do air conditioning vents and ducts appear to be clean upon visual inspection?

  Yes

  No

  N/A

• 6. Are outside lights in good working order?

  Yes

  No

  N/A

• 7. Does the exterior of the building present no safety concern?

  Yes

  No

  N/A

• 8. Is the parking lot area free of any safety concern? (i.e. overgrown landscaping, uneven pavement, traffic hazards)

  Yes

  No

  N/A

Comments - Corrective Action: