Title Page

  • Conducted on

  • Prepared by

1.0 Fire Prevention & Evacuation

  • 1.1 Are exits visibly marked and clear of obstructions?

  • 1.2 Are fire doors closed securely at all times?

  • 1.3 Are stairwells clear?

  • 1.4 Are proper fire extinguishers available & inspected monthly?

  • 1.5 Are special procedures in place for workers with disabilities to assist them to exits?

  • 1.6 Are combustible materials stored in assigned storage cabinets or designated areas?

  • 1.7 Are materials stored at least 18 inches away from sprinkler heads or 24 inches from ceilings where no sprinkler system exist?

  • 1.8 Are fire drills held on a regular basis and documented?

  • 1.9 Are electric space heaters plugged directly into the walls, have working tip over switch and are away from combustible materials?

  • 1.10 Does the existing Emergency Evacuation Plan include a floor plan/map of the department, including emergency evacuation route and procedures with rally points and has all employee received documented training?

  • 1.11 Are there assigned “Safety Captains” or leaders to manage the departmental plan and head counts?

  • 1.12 Is there a process for employees to check in/out of the department that can be used for head count at rally points?

2.0 General Safety/Housekeeping

  • 2.1 Are filing cabinets, bookcases and other items over 4 feet tall securely bolted to walls or floors?

  • 2.2 Are materials on shelves above chest level secured by doors or straps?

  • 2.3 Are cubicle walls secured?

  • 2.4 Are heavy items place on lower shelves or in lower drawers to prevent tipping or injury?

  • 2.5 Are file drawers kept closed when not in use?

  • 2.6 Are step ladders provided for high storage areas?

  • 2.7 Are coffee machines, etc. securely fixed to avoid risk of scalds?

  • 2.8 Are office ares cleaned & maintained regularly?

  • 2.9 Are storage rooms & recycling areas neatly maintained?

  • 2.10 Are all wasted materials placed in the proper waste containers and emptied regularly?

  • 2.11 Is flooring in good condition with loose rugs and mats secured?

  • 2.12 Do electric fans have a grill or guard for finger protection?

  • 2.13 Is paper cutter equipped with a guard?

3.0 Electrical Safety

  • 3.1 Are all plugs, cords, electrical panels, and receptacles in good condition (no exposed conductors or broken insulation)?

  • 3.2 Are extension cords being used correctly? (They must not be run through walls, doors, ceilings; not represent a trip hazard running across aisle ways; not to be used as a permanent source of electrical supply - have additional outlets installed; not be linked together; amperage rating appropriate for equipment in use. No “thin zip cords.”)

  • 3.3 Is clear access (36 inch clearance) provided to electrical panels?

  • 3.4 Are cord or cable systems used to manage all cords or cables?

  • 3.5 Are extension cords at minimum 14 gauge (heavy-duty), 6’ or less, and servicing only one appliance or fixture?

  • 3.6 Is faulty or broken equipment removed from service?

  • 3.7 Are lamps well clear of drapes, papers and other combustible materials?

  • 3.8 Are electrical supply closets free of all debris or other items (nothing stored in closets)?

4.0 Computer Workstations

  • 4.1 Is the keyboard and mouse within easy reach?

  • 4.2 Are keyboard and monitor aligned?

  • 4.3 Are Chris used at computer workstations adjustable and in good condition?

  • 4.4 Is leg and knee clearance available under the desk surface?

  • 4.5 Are adjustable workstations in good working order (stay in place when adjusted)?

  • 4.6 Are ergonomic keyboards, mouse, and desk made available?

5.0 Additional Comments

  • 5.0 Did you observed anything else of concern that was not covered in the audit questions?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.