Title Page

  • Document No.

  • Conducted on

  • Prepared by

  • General housekeeping is good

  • Take photo of problem area

  • Comment

  • Slip, trip, fall hazards

  • Take photo of problem area

  • Comment

  • Light covers/ceiling tiles secure

  • Take photo of problem area

  • Comment

  • Sturdy rails on stairs

  • Take photo of problem area

  • Comment

  • Proper lighting

  • Take photo of problem area

  • Comment

  • Worn or damaged treads on stairs

  • Take photo of problem area

  • Comment

  • Stairs clear of debris

  • Take photo of problem area

  • Comment

  • Any burnt out bulbs

  • Take photo of problem area

  • Comment

  • Emergency lighting operating

  • Take photo of problem area

  • Comment

  • Locked or barred exits

  • Take photo of problem area

  • Comment

  • Fire hoses/extinguishers checked

  • Take photo of problem area

  • Comment

  • Equipment clearly marked

  • Take photo of problem area

  • Comment

  • Fire equipment clear of blockage

  • Take photo of problem area

  • Comment

  • Adequately illuminated exits

  • Take photo of problem area

  • Comment

  • Exterior surfaces clear for prompt exit

  • Take photo of problem area

  • Comment

  • Nothing blocking exits

  • Take photo of problem area

  • Comment

  • Inspector 1

  • Inspector 2

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.