Information
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Site conducted
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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
Electrical
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Use of unnecessary extension cords?
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Are electrical cord tripping hazards present?
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Access to the electrical panel is not obstructed?
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Electrical cords do not run through wall openings or doorways?
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Electrical cords are not under rugs or mats?
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Other Electrical?
Emergency and Evacuation
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Fire alarm system tested regularly?
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Evacuation Plan available and posted?
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Employees are familiar with evacuation plan and their responsibilities in case of an emergency?
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Emergency/evacuation drill conducted annually?
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Other Emergency or Evacuation concerns?
Exits and Aisles
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Locks or latches are on doors equipped with panic hardware?
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No obstructions present in aisles, exits, or on stairways?
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Directions to exit(s) are clearly marked?
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Adequate lighting in for aisles, exits, or stairways?
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Emergency lighting present & working?
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Fire escape is kept clear?
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Exits do not open to high traffic or public way?
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Other Exit or Aisle concerns?
Fire Protection
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Locations of fire extinguishers are clearly marked?
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Required types and number are accessible?
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Extinguishers inspected and documented monthly?
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Extinguishers are serviced & tagged annually?
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Access to standpipes, fire hoses, or sprinkler control valves is kept clear?
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Decorations or other material is not attached to sprinkler system?
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Sprinkler heads are not damaged, corroded, or painted over?
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Chemical containers are clearly labeled?
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Flammable liquids or other chemicals are stored in closed containers?
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Excess quantities of flammable liquids are not stored in the building?
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Flammable liquids are not stored near exits, in aisles, or on stairways?
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Combustible material is not stored in the vicinity of the heater or another ignition source?
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Adequate ventilation in areas with photocopiers or other similar heat-producing machines?
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Flammable liquids are not stored in heater room?
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Other Fire Protection concerns?
Work, Rest and Break Areas
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Proper federal/state "right to know" posters and OSHA information posted in common areas?
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Plumbing fixtures (fountains, sinks, urinals, etc.) do not leak?
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Floor mats are slip resistant; do not present trip hazard?
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Stairways are in good repair with handrails and non-slip tread?
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Stairways are not being used for storage?
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Stairway steps are uniform in size and riser height?
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Slip resistant preparation is used on highly polished floors?
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Adequate space between desks and furniture to provide for safe passage?
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Desks/cabinets are not oriented to open into passage ways?
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Adequate lighting?
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No damaged floor surfaces?
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Ladders are available to reach overhead storage areas?
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Ladders are in good condition; not damaged or broken?
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Glass walls or doors are impact resistant and clearly marked?
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Cabinets and shelves are secured to prevent overturning?
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Heavy objects are not placed on top of cabinets or partitions?
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Video display terminal operators are not complaining of headaches, stress, or strains to neck or eyes?
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Temperature is comfortable; not too high or too low?
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Adequate ventilation in areas where there is the use of potentially toxic materials, chemicals, or fluids?
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No noticeable dust or odors in the air?
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Noise level is comfortable and not excessive?
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Other Work, Rest or Break Area concerns?
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Additional Information
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Observer Signature
