Office and Facilities Inspection

• System

• Facilities Inspected

• Conducted on

  Date

• Prepared by

• Location
  Address

• INSTRUCTIONS
  
  1. Please answer "Yes", "No" or "N/A" on the questions below.
  2. Add Photos in "Images" and Comments in "Notes" of each question.
  3. Add a Corrective Measure in "Action." Provide a description, assign to a member, set priority, and due date
  4. Complete the audit by providing a digital signature
  5. Share your report by exporting as PDF, Word, Excel or Web Link.
  

WORK ENVIRONMENT

• Are all work areas clean, sanitary, and orderly?

  Yes

  No

  N/A

• Is there adequate lighting?

  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 places like kitchens and bathrooms free of water and slippery substances?

  Yes

  No

  N/A

• Are carpet and 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 materials stored safely?

  Yes

  No

  N/A

• Are file drawers kept closed when not in use?

  Yes

  No

  N/A

• Are pits and floor openings covered or otherwise guarded?

  Yes

  No

  N/A

• Is any furniture unsafe or defective?

  Yes

  No

  N/A

• Are objects covering heating and air conditioning vents?

  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 you store hazardous waste?

  Yes

  No

  N/A

• Are adequate first aid supplies available and properly maintained?

  Yes

  No

  N/A

• Is a copy of the facility fire prevention and emergency action plan available on site?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Automated External Deliberators (AED) condition/status light green?

  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 unobstructed?

  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 a sufficient number of exits provided?

  Yes

  No

  N/A

• Are exits kept 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 exit 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 fire hazard when exiting the facility?

  Yes

  No

  N/A

ELECTRICAL SYSTEMS

• 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 (free of splices, frays, etc.)?

  Yes

  No

  N/A

• Are electrical appliances approved (Underwriters) Laboratory, Inc. (UL), etc.)?

  Yes

  No

  N/A

• Are space heaters UL listed and equipped with shutoffs 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

COMPLETION

• Additional Comments

• Inspector: (Name and Signature)

  Sign