Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • CARF Facility Safety & Loss Control Inspection Checklist
  • Location:

  • Completed By:

  • Completion Date:

Area/Equipment/Item

  • Emergency warning devices

  • Means of entry/egress

  • Emergency plan (evacuation, weather, medical, client)

  • Housekeeping practices

  • Entrance mats flat and surround areas are dry

  • Spill clean-up procedure

  • Condition of parking lot/sidewalk

  • Overall condition of walking surfaces to prevent employee and customer STF incidents

  • Hazardous substances (MNERTK)

  • Infectious agents (BBP)

  • Materials handling practices

  • Hand-held tools/equipment

  • Machine operation (guarding/LOTO)

  • Electrical PM (wiring/clearance)

  • Grounding of electrical equipment

  • Food preparation areas

  • Dining or eating areas

  • Restrooms

  • Sanitation

  • Ventilation

  • Illumination

  • Noise levels

  • Air contaminants

  • General working environment

  • Personal protective equipment

  • Fire extinguishers

  • Automatic fire protection systems

  • Fire detection systems

  • Building PM practices

  • Security

  • Client transportation

  • Other: Tornado Drill

  • Other: Fire Drill

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.