Monthly Safety Walk

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Employee Training

• First Aid/AED certified employees available to assist in an emergency?

  Yes

  No

  N/A

• Ask 2 employees where AED is located and what it is for. Employee names and responses:

• Were all employees able to locate and describe purpose of AED?

  Yes

  No

  N/A

• SDS - Ask 2 employees what an SDS is and where the binder is located.

• Incident Reports/Property Loss - Ask 2 employees the process for filing an incident report.

• Were all employees able to describe incident report process?

  Yes

  No

  N/A

• Emergency Procedures - Are the procedures posted somewhere?

  Yes

  No

  N/A

• Photo of emergency procedures posting

  Media

• Ask 2 employees what they would do in case of a fire, earth quake, or if the lights went out.

• Were all employees able to describe emergency procedures?

  Yes

  No

  N/A

• Are all closing/daily checklists complete and filed in binder?

  Yes

  No

  N/A

Fire

• Emergency exit signs identifiable and readily visible?

  Yes

  No

  N/A

• Emergency lights working?

  Yes

  No

  N/A

• Water shut off valves accessible?

  Yes

  No

  N/A

• Is there an 18" vertical clearance maintained from sprinkler heads?

  Yes

  No

  N/A

• Fire alarm pull stations and fire extinguishers visible and unobstructed?

  Yes

  No

  N/A

• Fire extinguishers checked monthly for green & signed off?

  Yes

  No

  N/A

• Photo of one signed off extinguisher

  Media

• Carbon monoxide detectors working?

  Yes

  No

  N/A

• Flammables stored in flammable lockers?

  Yes

  No

  N/A

Earthquake

• Bookcases, filing cabinets, shelves, racks, cages, storage cabinets, and similar items over four feet tall secured?

  Yes

  No

  N/A

• Large and heavy objects stored at waist level?

  Yes

  No

  N/A

• In case of power loss, are there working flashlights available in every department?

  Yes

  No

  N/A

Electrical

• Are electrical panels filled with breakers or metal blanks?

  Yes

  No

  N/A

• Are electrical panels unobstructed and easy to get to?

  Yes

  No

  N/A

• Photo of an Electrical Panel

  Media

• Is there a diagram explaining what all fuses are for?

  Yes

  No

  N/A

• Do all tools, equipment, vacuums, extension cords, etc. have electrical cords in good condition with no frays?

  Yes

  No

  N/A

• Do all cords have the grounding plug still attached?

  Yes

  No

  N/A

Hazardous Materials

• Ask two employees the hazards of two different chemicals.

• Employees:

• Hazards:

• Were employees able to identify hazards of the chemicals?

  Yes

  No

  N/A

• Choose two different chemicals and confirm there are SDS sheets.

• Chemical #1

  Media

• Chemical #1 SDS Sheet

  Media

• Chemical #2

  Media

• Chemical #2 SDS Sheet

  Media

• Are all secondary containers properly labeled per GHS requirements?

  Yes

  No

  N/A

• AED Battery OK?

  Yes

  No

  N/A

• Emergency/First Aid Kit Updated?

  Yes

  No

  N/A

• Emergency Red Binder Updated?

  Yes

  No

  N/A

General Housekeeping

• Are the following areas free of any slip/trip hazards? Clutter or trash?

• Storage Rooms?

  Safe

  At Risk

  N/A

• Building Exterior?

  Safe

  At Risk

  N/A

• Offices?

  Safe

  At Risk

  N/A

• Is safety gear/PPE readily available?

  Yes

  No

  N/A

• Photo of available Safety Gear/PPE

  Media

• Is Foam Pit clean?

  Yes

  No

  N/A

• Photo of Foam Pit

  Media

Trampolines

• Has monthly inspection been completed?

  Yes

  No

  N/A

• Date of last inspection

  Date

• Photo of inspection log

  Media

• All trampolines in working order and good condition

• Is Observation Deck free of any obvious issues?

  Yes

  No

  N/A

• Photo of Observation Deck

  Media

Ninja Course

• Are all apparatuses in working order?

  Yes

  No

  N/A

• Is Ninja Course free of any obvious issues?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Photo of Ninja Course

  Media

Laser Maze

• Are all Laser MazeTVs working?

  Yes

  No

  N/A

• Is Laser Maze area free of any obvious issues?

  Yes

  No

  N/A

• Photo of Laser Maze area

  Media

Hangar Cafe

• Are all employees working in café certified with a current Food Workers Safety card?

  Yes

  No

  N/A

• Are water tests conducted on sink water and are levels at acceptable levels?

  Yes

  No

  N/A

• Photo of sink water testing log

  Media

Security Cameras

• Are all security cameras running and pointed in the correct direction?

  Yes

  No

  N/A

• Are camera hard drives in working condition and recording?

  Yes

  No

  N/A

Audit Completed By:

• Add signature

  Sign