Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Sign here
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Location
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Personnel
B1
MILL ROOM
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Machine guarding in proper working order.
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Fire extinguisher inverted, inspected, tag updated
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Gas cylinders properly secured
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Ladder checked for defective parts/damage/operation
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Finishing notes?
BREWHOUSE
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Fire exits clear & unobstructed (check both interior & exterior of doorways)
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Crash bar device & lock in working order
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Emergency lights test OK
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Signage for extinguishers, exits, lit signs in order
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Gas cylinders properly secured
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Electrical cabinets unobstructed
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Safety shower & eyewash (clean and flowing)
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Ladder(s)/rolling stairs checked for defective parts/damage/operation
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PPE equipment in place and in working order
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Finishing notes?
CELLAR
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Fire exits clear & unobstructed (check both interior & exterior of doorways)
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Signage for extinguishers, exits, lit signs in order
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Crash bar device & lock in working order
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Analox CO2 alarm tested
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Fire extinguisher inverted, inspected, tag updated
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Electrical cabinets unobstructed
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Safety shower & eyewash (clean and flowing)
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Ladder(s)/rolling stairs checked for defective parts/damage/operation
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PPE equipment in place and in working order
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Portable gas meter checked & working
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Gas cylinders properly secured
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Emergency lights test OK
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Finishing notes?
COURTYARD
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Signage for extinguishers, exits, lit signs in order
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Fire extinguisher on cylinder cage inverted, inspected, tag updated
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Fire exits clear & unobstructed (check both interior & exterior of doorways)
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Gas cylinders properly secured
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Finishing notes?
STORE
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Fire exits clear & unobstructed (check both interior & exterior of doorways)
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Signage for extinguishers, exits, lit signs in order
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Handle & lock in working order
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Fire extinguisher inverted, inspected, tag updated
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Emergency lights:
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ENTRY
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REAR
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Finishing notes?
NEW MILL ROOM EX
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Fire exits clear & unobstructed (check both interior & exterior of doorways)
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Fire extinguisher inverted, inspected, tag updated
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Signage for extinguishers, exits, lit signs in order
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Electrical cabinet unobstructed
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Finishing notes?
B2
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Handle & lock in working order
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Fire extinguisher inverted, inspected, tag updated:
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North Wall Ex.
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South Wall Ex.
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West Wall Ex.
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Maintenance Area Ex.
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Signage for extinguishers, exits, lit signs in order
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Ladder(s)/rolling stairs checked for defective parts/damage/operation
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PPE equipment in place and in working order
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MSDS folder in place and unobstructed
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Electrical cabinets unobstructed
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Proper labels on chemicals
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Finishing notes?
ATRIUM - ENTRY
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Signage for extinguishers, exits, lit signs in order
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Fire extinguisher inverted, inspected, tag updated
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Crash bar devices & locks in working order
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Fire exits clear & unobstructed (check both interior & exterior of doorways)
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Finishing notes?
MUSIC TAVERN
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Signage for extinguishers, exits, lit signs in order
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Crash bar devices & locks in working order
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Fire exits clear & unobstructed (check both interior & exterior of doorways)
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Fire extinguisher inverted, inspected, tag updated:
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Northwest Corner
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Employee Entrance
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Finishing notes?
WOODSHOP
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Signage for extinguishers, exits, lit signs in order
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Machine guarding in proper working order
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Fire extinguisher inverted, inspected, tag updated:
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East
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West
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Ladder(s)/rolling stairs checked for defective parts/damage/operation
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PPE equipment in place and in working order
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First aid kit stocked
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Finishing notes?
KITCHEN
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Signage for extinguishers, exits, lit signs in order
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Fire extinguisher inverted, inspected, tag updated:
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ABC
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Nitrogen
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Finishing notes?
JANITORS CLOSETS
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PPE equipment in place and in working order
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MSDS folder in place and unobstructed
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Cleaning chemicals properly labeled
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Quat test done
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Finishing notes?
OLD GENERAL STORE
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Fire exits clear & unobstructed (check both interior & exterior of doorways)
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Fire extinguisher inverted, inspected, tag updated:
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Interior
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Exterior
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Crash bar devices & locks in working order
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Signage for extinguishers, exits, lit signs in order
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Finishing notes?
BLOCK BLDG.
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Fire extinguisher inverted, inspected, tag updated:
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North Entry
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South Entry
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Ladder(s)/rolling stairs checked for defective parts/damage/operation
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Overflow security lighting checked
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Finishing notes?
ADMIN OFFICES
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Signage for extinguishers, exits, lit signs in order
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Fire exit clear & unobstructed (check both interior & exterior of doorways)
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Fire extinguisher inverted, inspected, tag updated:
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Entry
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By water heater
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Jason's Office
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Finishing notes?
NORTH WAREHOUSE
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Fire extinguisher inverted, inspected, tag updated
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Finishing notes?
SMOKER
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Fire extinguisher inverted, inspected, tag updated
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Gas hoses/fittings checked
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Finishing notes?
PATIO GRILL AREA
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Fire extinguisher inverted, inspected, tag updated
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Crash bar devices & locks in working order
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Fire exits clear & unobstructed (check both interior & exterior of doorways)
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Picnic tables in good condition.
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Exterior lighting in working order.
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Finishing notes?
