Office and Facilities Inspection

• Document No.

• System Name

• Type Facility

• Conducted on

  Date

• Location

• Observer

• System Representative

Office and Facility Inspection

Work Enviroment

• Are all work areas clean, sanitary and orderly?

  Yes

  No

  N/A

• Is there adequate lighting?

  Yes

  No

  N/A

• Do noise levels appear high?

  Yes

  No

  N/A

• Is ventilation adequate?

  Yes

  No

  N/A

Walking/Working Surfaces

• Are aisles and passages free of stored material that may present trip hazards?

  Yes

  No

  N/A

• Are tile floors in place and free of wet or slippery surfaces?

  Yes

  No

  N/A

• Are carpets or throw rugs free of tears or trip hazards?

  Yes

  No

  N/A

• Are hand rails provided on all fixed stairways?

  Yes

  No

  N/A

• Are treads provided with anti-slip surfaces?

  Yes

  No

  N/A

• Are step ladders provided for reaching overhead storage areas and are overhead materials stored safely?

  Yes

  No

  N/A

• Are file drawers kept closed when not in use?

  Yes

  No

  N/A

• Are passenger and freight elevators inspected annually and are the inspection certificates available for review on-site?

  Yes

  No

  N/A

• Are pits and floor openings covered or otherwise guarded?

  Yes

  No

  N/A

• Are standard guard rails provided wherever aisle or walkway surfaces are elevated more than 48 inches above any adjacent floor or the ground?

  Yes

  No

  N/A

• Is any furniture unsafe or defective?

  Yes

  No

  N/A

• Are objects covering heating or air conditioning vents?

  Yes

  No

  N/A

Ergonomics

• Are employees advised of proper lifting techniques?

  Yes

  No

  N/A

• Are workstations configured to prevent common ergonomic problems?

  Yes

  No

  N/A

• Are mechanical aids and equipment, such as; lifting devises, carts or dollies provided where needed?

  Yes

  No

  N/A

• Are employee surveyed annually on their ergonomic issues?

  Yes

  No

  N/A

Emergency Information (Postings)

• Are employees trained on emergency procedures?

  Yes

  No

  N/A

• Are fire evacuation procedures/diagrams posted?

  Yes

  No

  N/A

• Is emergency information posted in every area where hazardous materials are stored?

  Yes

  No

  N/A

• Are the OSHA poster and other required postings displayed conspicuously?

  Yes

  No

  N/A

• Are adequate first aid supplies available and properly maintained?

  Yes

  No

  N/A

• Are there AED's available and properly maintained and tested monthly?

  Yes

  No

  N/A

• Are an adequate number of employees trained in first aid/CPR and emergency procedures?

  Yes

  No

  N/A

• Is a copy of the facility emergency action plan available on-site?

  Yes

  No

  N/A

• Are safety hazard warning/caution signs provided to warn employees of pertinent hazards?

  Yes

  No

  N/A

Fire Prevention

• Are portable fire extinguishers distributed properly (less than 75 feet travel distance for combustibles and 50 feet for flammables)?

  Yes

  No

  N/A

• Are employees trained on the use of portable fire extinguishers?

  Yes

  No

  N/A

• Are portable fire extinguishers visually inspected monthly and serviced annually?

  Yes

  No

  N/A

• Is the area around portable fire extinguishers free of obstructions and properly labeled?

  Yes

  No

  N/A

• Is heat producing equipment used in a well ventilated area?

  Yes

  No

  N/A

• Are fire alarm pull stations clearly marked and in obstructed?

  Yes

  No

  N/A

• Are flammable liquids, such as gasoline, kept in approved safety cans and stored in flammable cabinets?

  Yes

  No

  N/A

Emergency Exits

• Are doors, passageways or stairways that are neither exits nor access to exits and which could be mistaken for exits, properly marked "NOT AN EXIT", "TO BASEMENT," "STOREROOM" and etc?

  Yes

  No

  N/A

• Are a sufficient number of exits provided?

  Yes

  No

  N/A

• Are exits free of obstructions or locking devices which could impede immediate escape?

  Yes

  No

  N/A

• Are exits properly marked and illuminated?

  Yes

  No

  N/A

• Are the directions to exits, when not immediately apparent, marked with visible signs?

  Yes

  No

  N/A

• Can emergency exit doors be opened from the direction of travel without the use of a key or any special knowledge or effort when the building is occupied?

  Yes

  No

  N/A

• Are exits arranged such that it is not possible to travel toward a hazard when exiting the facility?

  Yes

  No

  N/A

Electrical System

• Are all cord and cable connections intact and secure?

  Yes

  No

  N/A

• Are electrical outlets free of overloads?

  Yes

  No

  N/A

• Is the area around electrical panels and breakers free of obstructions?

  Yes

  No

  N/A

• Are electrical cords routed such that they are free of sharp objects and clearly visible?

  Yes

  No

  N/A

• Are all electrical cords grounded?

  Yes

  No

  N/A

• Are electrical cords in good condition?

  Yes

  No

  N/A

• Are electrical appliances approved (UL)?

  Yes

  No

  N/A

• Are space heaters UL listed and equipped with shut offs that activate if the heater tips over?

  Yes

  No

  N/A

• Are space heaters located away from combustibles and properly ventilated?

  Yes

  No

  N/A

Additional Information

• Additional Comments

• Pictures

  Media

• Observer Signature

  Sign

• System Representative Signature

  Sign