Information

  • Document No.

  • Audit Title

  • Conducted on

  • Prepared by

  • Site

  • Building Number

  • Room Number

  • Location
  • Aisles, Hallways, Corridors, Stairwells. Furniture or other obstructions are not allowed in hallways and stairwells. Exit doors are not allowed to be obstructed. Take Action: Remove items from hallways, under stairwells, aisles, etc. Contact building facility manager for assistance. Deficiency identified?

  • Exits. Exit shall not be obstructed from the inside or outside. Exit doors must open with one action, i.e. activating door latch and pushing the door open. It is not permissible to have to unlock a door before exiting. Take Action: Remove items from means of egress and exit. Contact building facility manager/landlord if you need assistance. Deficiencies identified?

  • Housekeeping. All work locations shall be kept clean, orderly and in a sanitary condition. Take Action: Survey your work location especially offices and remove clutter, secure power cables, secure data cables and maintain order. Deficiencies identified?

  • Exit Lights. Ensure exit signs and emergency lights are not obstructed or missing and the light is operational. Take Action: Contact building facility manager/landlord if exit/emergency lights are missing/non-operational. Deficiency noted?

  • Emergency Lights. Ensure emergency lights are operable. Push the “test” button on emergency lights to see if they come on. Test for 30 seconds once. Note: Larger buildings may have emergency generators to provide lighting and this would not apply in this case. Use a step ladder or a tool of some sort to test emergency lights that can’t be reached. Deficiency noted?

  • Stair / Corridor Doors. Fire doors shall not be chocked open unless held by magnetic door hold. These doors are normally leading into a stairwell or different sections of a building. Take Action: Remove object holding fire door open or contact building facilities manager for magnet door installation. Deficiency noted?

  • Open Flames / Sources of Ignition. Candles, pyrotechnics, welding and other open flame devices are not allowed without a hot work permit through the Fire Department. Take Action: Remove candles and contact Fire Department to determine if other open flame devices can be approved as part of a business function. Deficiency noted?

  • Electrical / Mechanical Rooms. Shall not contain storage items such as desk, tables, chairs, etc. Deficiency noted? Take Action: Remove items from Electrical/Mechanical rooms.

  • Walking Surfaces. Ensure there are no uneven surfaces, trip hazards, frayed carpet, holes in flooring, or slippery walking surfaces. Ensure timely snow and ice removal is planned for and resourced. Be alert for uneven stair treads or heights. Take Action: Correct slip, trip hazards. If you need assistance, contact your building coordinator or safety office. Alert employees to the hazard. Deficiency noted?

  • Extension Cords and Power Strips. Extension cords are only for temporary use. The exception is for power strips which can be used as long as they are plugged directly into the wall. Extension cords are not to be plugged into power strips. Electrical cords and power strips shall not present a tripping hazard, be damaged or tied in together. Take Action: Remove electrical cords that are creating a hazard. Evaluate electric use for work relatedness. Individuals should not have fans, coffee pots, refrigerators, etc. Contact building facility manager or to have items removed or new electrical outlets installed. Deficiency noted?

  • Electrical Outlet Covers. Electrical outlet/switch covers are required. Take Action: Contact building facility manager/landlord to have electrical cover plates replaced. Deficiency noted?

  • Electrical Panels. Electrical Panel boxes must have a clearance of 36 inches all the way to the floor. Take Action: Remove items obstructing electrical panel box. Deficiency noted?

  • Fire Extinguishers. Check monthly to ensure: (1) Location in designated place (2) No obstruction to access or visibility (3) Pressure gauge reading or indicator in the operable range or position (4) Fullness determined by weighing or hefting (5) Condition of tires, wheels, carriage, hose, and nozzle for wheeled extinguishers (6) Indicator for non-rechargeable extinguishers using push to- test pressure indicators. Document monthly inspection on tag attached to fire extinguisher. Deficiency noted?

  • Storage. Storage not shall be within 24 inches of a ceiling and 18 inches of a sprinkler head. Take Action: Remove items at least 24 inches below ceiling and 18 inches from sprinkler heads. Deficiency noted?

  • Hazardous Materials. If hazardous materials are present, an inventory, safety data sheets (SDS/MSDS) and training is required. Please contact Safety Office for assistance. Deficiency noted?

  • A complete Fire Bill should be posted. Deficiency noted?

  • An evacuation plan should be posted. Deficiency noted?

  • Photograph of Concern Areas

Close Out

  • Comments

  • Inspector Signature

  • Building Coordinator Signature

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