Information
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Audit Title: Building_Rm#_MMDDYY
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Location
- 4200 Wisconsin
- 4401 Connecticut
- Anderson
- Asbury
- Battelle
- Beeghly
- Bender Library
- Butler Pavilion
- Cassell
- Centennial
- Child Development Center
- Clark
- Dunblane
- East Quad Building
- Gray
- Hamilton
- Hughes
- Hurst
- Jack Child
- Katzen
- Kay Spiritual
- Kogod
- Kreeger
- Leonard
- Letts
- Mary Graydon
- McCabe
- McDowell
- McKinley
- Media Production Center
- Nebraska
- Osborn
- Presidents Office Building
- Rockwood
- Roper
- School of International Service
- Sports Center
- Sports Center Annex
- Spring Valley
- Vehicle Maintenance
- Ward Circle Bldg
- Watkins
- WCL
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Room
- G18 - Mech/Boiler Rm
- 408 - Mech Rm
- 443 - Elec Rm
- Roof
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Room
- A05 - Attic Mechanical
- B11A - Mech under stairs
- B16 - Mech closet
- Roof
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Room
- 364 - Mechanical Rm
- 370 - Data
- 400 - Mechanical Rm
- Roof
- P103 - Fountain Equip
- P104 - Plumbing Equip
- P105 - Data/Telecom
- P106 - Electrical
- P115 - Em Generator
- P117 - Mech Boiler
- P118 - Mech Chiller
- P119 - Mech Air Handler
- P120 - Mech Rm
- P123 - Garage Exhaust Shaft P1 Lvl
- P124 - Garage Exhaust Shaft P1 Lvl
- P128 - Garage Air Sply Shaft
- P180A - Corridor b/w Mech Spaces
- P202 - Garage Exhaust Shaft P2 Lvl
- P203 - Garage Exhaust Shaft P2 Lvl
- P205 - Elev Mach Rm Elev#3
- P205A - Elev Pit Elev#3
- P208 - Elec Room
- P302 - Garage Air Sply Shaft
- P304 - Garage Exhaust Shaft
- P306 - Sump Rm
- P308 - Elev Mach Rm Elev#1&2
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Room(s)
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Conducted on
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Conducted by
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Prepared by
Housekeeping
Housekeeping
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Are workspaces clean and orderly?
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Are floors clear of debris and trip hazards?
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Are aisles, hallways, and exits free of obstruction?
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Are floor surfaces dry and free of slip hazards?
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Are materials stored securely and limited in height to prevent collapse?
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Are ladders load rated, in good repair, and stored properly?
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Are all floor openings larger than 1" diameter guarded?
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Noise level is above ~80 dB (must raise voice to be heard)
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Is a "hearing protection required" sign posted?
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Is hearing protection provided?
Chemical Safety
Chemical Safety
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Chemicals/hazardous materials are stored in room
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Are all hazardous materials stored in secondary containment?
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Does the room have a current chemical inventory?
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Are Safety Data Sheets made available for all chemicals in the workspace?
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Are chemicals stored by compatibility?
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Are all chemicals stored in tightly closed containers?
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If chemicals are on shelves, are they secure and at or below shoulder height?
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Are chemical containers in good condition (not rusty, crusty, dusty)?
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Are chemicals labeled in plain English with name, contents and hazards?
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Is an eyewash station readily available?
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Is eyewash station in good working order (clean, free of debris, delivers water 60-100 degrees)?
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Is eyewash station inspected monthly?
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Flammable liquids are used or stored in room
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Are flammables stored within flammable cabinets when not in use?
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Are flammable containers closed?
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Are flammables stored away from sources of heat, flame, or ignition?
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Are flammables stored away from oxidizers?
Fire & Emergency Systems
Fire & Emergency Systems
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Are Emergency Exits signs in working order?
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Are confined space signs on all permit-required confined spaces?
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Are exits clearly visible?
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Are doors that could be confused as exit doors clearly marked?
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Are you able to open all exit doors without interference?
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Exit doors are fire doors
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Is the door self-closing?
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Is the door maintained in closed position (i.e. not propped open)?
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Are emergency exits free from obstructions?
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Are corridors and stairwells clear of debris and not used for storage?
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Is emergency lighting in working order?
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Is 18" of vertical clearance maintained below all sprinkler heads?
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Is there a fire extinguisher nearby?
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Are fire extinguishers current on monthly and annual inspection?
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Do fire extinguishers show as charged?
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Are fire extinguishers easily accessible and not blocked?
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Are fire extinguishers mounted to the wall and not free standing?
Electrical Safety
Electrical Safety
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Are combustibles stored away from electrical or heat sources?
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Are all outlets and switches in good repair?
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Are all junction boxes covered?
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Is 36" clearance maintained in front of electrical panels?
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Power cords, extension cords, or power strips are present
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Are power cords/strips used as designated? (No daisy chains, extension cords not used as permanent option)
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Are all cords in good repair (not damaged or frayed)?
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Are grounding pins intact on power and extension cords?
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Are all extension cords industrial weight (not household weight)?
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Are all live and/or moving parts properly guarded?
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Is the space free of cheater plugs?
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Are electrical outlets near water protected by GFCI?
Other
Other
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Additional safety concerns or observations
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