Office & Break Room ZAP Walk

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

• Location
  Address

Work Environment

• Are the emergency exits accessible, marked and illuminated?

  Yes

  No

  N/A

• Are the fire extinguishers accessible, charged and up to date?

  Yes

  No

  N/A

• Are first aid kits clear and easily found?

  Yes

  No

  N/A

Conference Rooms

• Are chairs in good working order?

  Yes

  No

  N/A

• Are trip hazards addressed?

  Yes

  No

  N/A

• Is the lighting all functional?

  Yes

  No

  N/A

• Is the TV turned off when not in use?

  Yes

  No

  N/A

• Are the doors in good working order?

  Yes

  No

  N/A

Lunchroom

• Is the lighting all functional?

  Yes

  No

  N/A

• Are conduits and receptacles in good condition?

  Yes

  No

  N/A

• Are the floors in good condition?

  Yes

  No

  N/A

• Are chairs and tables in good working order?

  Yes

  No

  N/A

Cubicle

• Are trip hazards addressed?

  Yes

  No

  N/A

• Is the lighting all functional?

  Yes

  No

  N/A

• Are chairs in good working order?

  Yes

  No

  N/A

• Space heaters

  Yes

  No

  N/A

• Are there cluttered areas?

  Yes

  No

  N/A

People

• Ask one employee to name

  Yes

  No

  N/A

• Does employee know the weekly safety topic?

  Yes

  No

  N/A