Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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4 fire extinguishers located within the Mesa facility office area. Must all be visual checked for compliance; labels,stickers, yearly certification, monthly inspection tag, hose, gauge, pin (with tip tag attached) no rust, no leaks.
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Location: Second floor outside of training room
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Location: First floor main break/lunch room
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Location: First floor server room
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First floor elevator room
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2 First aid stations and 2 AED units all checked for the following: FIRST AID STATIONS- Cintas monthly sign off, expired medications, stocked and clean. Emergency numbers posted on cabinet: AED UNITS- cintas monthly inspection, date of pads,battery ( light should be flashing green)
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Location: second floor first aid cabinet located in kitchen area
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Location: Second floor - AED UNIT in kitchen area
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Location: first floor kitchen area- first aid cabinet is stored inside the kitchen cabinet on the wall closest to the hall.
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First floor- AED unit located in kitchen area.
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Ceiling lights tested for emergency use. First and second floors and stair ways. Use equipment to push the black buttons located in the lights ( not present in all light fixtures) manufactures instructions are filed in the safety department. Approximately 26.
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Emergency Exit signs tested and working on first and second floor. Approximately 12.
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All doors along emergency exits routes are clearly marked.
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Emergency exit plans and maps are posted
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Elevator has been tested for the month- monthly inspection check off is located in the elevator room, next to the elevator on the first floor along with the keys and instructions on how to perform the monthly emergency service inspection.
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Check if there are any other issues that need to be addressed that have not already been done so. Explain issue and how or who is assigned to correct
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Add signature
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Completed audit/inspection needs to be sent to the assigned Manager and Supervisor of area for corrective actions to be addressed and to the Health and Safety Department for record keeping.
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Auditor
