Montana Department of Transportation Office Safety Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Sprinkler System

• Are sprinkler heads unobstructed (18" clearance)?

  Yes

  No

  N/A

Housekeeping

• Are good housekeeping standards maintained? (Look for trash, rodents, large amounts of paperwork stacked up, clean surfaces)

  Yes

  No

  N/A

• Are spills cleaned up immediately?

  Yes

  No

  N/A

Exits

• Exits are readily accessible at all times?

  Yes

  No

  N/A

• Exit routes are clearly marked to provide a line of sight to the exit?

  Yes

  No

  N/A

• Every identified exit leads directly outside or to a walkway, refuge area, public way, or open space with access to the outside?

  Yes

  No

  N/A

• All identified exits are unlocked?

  Yes

  No

  N/A

• The width of the exit route is 28 inches or greater?

  Yes

  No

  N/A

• Revolving, sliding, roll up, and overhead doors are not considered or used as a required exit door?

  Yes

  No

  N/A

• Designated exits are provided with illuminated exit signs with the word "EXIT"?

  Yes

  No

  N/A

• Doors, passageways, or stairways that may be confused as exits and are not exits are appropriately marked?

  Yes

  No

  N/A

Hazard Communication

• Each product container is labeled with the identity of product name and appropriate hazard warnings?

  Yes

  No

  N/A

Fire Extinguishers

• Fire Extinguisher locations are identified by a sign or other means?

  Yes

  No

  N/A

• Fire extinguishers are unobstructed?

  Yes

  No

  N/A

• Fire extinguishers are mounted to the wall?

  Yes

  No

  N/A

• Do fire extinguisher tags include: maintenance and inspection dates, date of purchase, Underwriters Laboratories (UL) approval, and initials of the inspector?

  Yes

  No

  N/A

Walking and Working Surfaces

• All hatchways, wall, and floor openings are guarded/covered?

  Yes

  No

  N/A

• Stair treads are non-slip and are in good repair?

  Yes

  No

  N/A

• Walkways, stairways, and aisle ways are free of obstructions?

  Yes

  No

  N/A

• Carpets are well secured to the floor and not worn or frayed?

  Yes

  No

  N/A

• Floor mats are not curled up and free from wear and tear?

  Yes

  No

  N/A

• Fixed stairways have a minimum width of 22 inches?

  Yes

  No

  N/A

• Work surfaces and floors are clean and dry?

  Yes

  No

  N/A

• For wheelchair accessibility, aisles are at least 36 inches in width continuously. (Should be no less the 32 inches at any point)

  Yes

  No

  N/A

• Stored material is piled, stacked, or racked in a manner to prevent tipping, falling, collapsing, rolling, or spreading?

  Yes

  No

  N/A

Electrical

• Extension cords are used only for temporary services? (No more than 90 days and cords should be taped down)

  Yes

  No

  N/A

• A 36 inch clearance is maintained around electrical panels?

  Yes

  No

  N/A

• Exterior lights are functioning?

  Yes

  No

  N/A

• Power strips, surge protectors, and extension cords are not "daisy chained"?

  Yes

  No

  N/A

• Are electrical boxes clearly marked to indicate the purpose of each circuit breaker?

  Yes

  No

  N/A

Documentation

• Tests and inspections on emergency light sources are completed and documented?

  Yes

  No

  N/A

• Emergency evacuation plans are posted throughout the facility, include " You Are Here" designations, and are color coded according to different emergency plans?

  Yes

  No

  N/A