Title Page
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Client / Site
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Date of Inspection
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Inspected by
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Location
GENERAL
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Any accidents or incidents since last visit
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Review any non recordable accidents or incidents since the last visit.
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Review any recordable accidents or incidents
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All reportable accidents or incidents have been abated properly
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Does the building conform to standards with respect to use, occupancy, building services, and plumbing facilities?
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Is the building exterior properly lighted and are all parking and walking surfaces in good condition & free of debris and properly marked?
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In winter is all ice and snow & cleared from all walking, parking & driving areas & de iced immediately?
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Are doors and entrances clear from hazards and unobstracted?
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Are doors and entrances kept unlocked or have suitable panic locks?
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All ceiling tiles clean and in place [no water damage etc.]?
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Is there an active safety & health program in place?
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Is one person clearly in charge of safety & health issues [ competent person]?
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Are emergency procedures and numbers as well as directions to nearest Doctor & Hospital posted?
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Is there a procedure for handling complaints regarding safety and health?
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All doors leading to restricted areas have proper signs?
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All electric / mechanical rooms must be free of any storage and have proper fire extinguisher?
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All Emergency generator / mechanical rooms must be free of any storage and have proper restricted access?
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Are bulletin boards and signs clean up to date and readable?
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Section notes
Stairways and Aisles
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Are stairways and aisles clear and unblocked?
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Are stairways well lighted?
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Are handrails, handholds in place?
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Are the aisles marked and visible?
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Section notes
Floors
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Are floors free from loose material, debris, worn carpeting etc.?
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Are floors clean?
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Is there a sign when floors are slippery, oily or wet?
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Section notes
Lighting
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Are lamp reflectors clean and fixtures in good condition?
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Are bulbs missing or not working?
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location of missing or burned out bulbs
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Are any areas dark?
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List areas not properly illuminated
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Section notes
Equipment
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Are guards, screens and sound-dampening devices in place and effective?
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Are chairs free from defects and in good operating order?
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Are desks and cabinets free from sharp edges?
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Are ergonomics (keyboard elevation, chair adjustment) correct?
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Are ladders safe, and well maintained & used correctly?
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Are employees trained in the proper use of ladders?
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Are ladders stored and secured properly when not in use?
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Are machines properly guarded?
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Are electrical wiring properly concealed?
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Is equipment free from sharp metal projections?
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Are wall and ceiling fixtures fastened securely?
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Are paper and waste properly disposed of?
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Are desk and file drawers kept closed when not in use?
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Are office accessories in secure places?
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Are materials improperly stacked on desks or cabinets?
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Are file cabinet drawers loaded below their rated capacity and are cabinets secured to wall?
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Are file cabinets loaded with the heaviest items in the bottom drawers?
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Are filing stools or wastebaskets placed in proper area?
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Section notes
ELECTRICAL / MECHANICAL SYSTEMS
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ELECTRICAL / MECHANICAL SYSTEMS AUDITED?
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Is there a LO/TO program in place [for employees & contractors] ?
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Does air exchange rate meet standard requirements?
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Are HVAC filters changed & equipment serviced on a regular basis ?
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Is the system free from sources of contamination (asbestos, microorganisms, dust, fumes)?
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Only correct heavy duty electric cords used when temporary power is needed ,no surge protector strips etc?
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GFCI outlets [breakers] are used wherever needed??
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All electric panels are marked & covered with 3' clear in front at all times?
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All gas meters are marked properly with 3' clear and protected in front at all times?
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All electric boxes are covered & marked & wiring is neat and correct ?
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Is temperature, humidity & air quality correct and even throughout?
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Portable heaters or fans permitted?
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Are all wall penetrations properly fire stopped where needed?
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Section notes
Emergency Equipment & Procedures
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Are all employees trained what to do in case of a emergency?
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Are all fire alarm systems and fire sprinkler systems regularly tested and certified?
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Are all fire alarm systems pull stations kept clear and properly signed?
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Are maps posted & up to date, showing exit routes [u are here], pull stations & fire extinguisher locations?
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Is fire control equipment appropriate for the type of fire it must control and are employees trained to use it properly or are employees trained to leave the building immediately ?
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Are emergency lights, exit signs, panic buttons and fire extinguishers tested & serviced on a regular basis with records kept?
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Proper amount size, type and locations for fire extinguishers ?
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Are all emergency exit doors and devices tested on a regular basis and recorded?
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Are fire / emergency drills carried out on a regular basis and it the area of assembly clearly marked with competent person to check attendance?
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Are appropriate employees trained in First Aid, CPR & AED use and properly identified
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Section notes
Dangerous Substances
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Are there any controlled or dangerous substances?
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• Are the products properly labelled with corresponding NFPA or SDS numbers?
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• Are proper NFPA or SDS posters displayed?
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• Is there a corresponding material safety data sheet (SDS) for each product &are they easily accessible to all workers?
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• Are all hazardous chemicals stored separated and handled properly?
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• Are proper cabinets used for storage and properly labeled as needed?
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• Are gas cylinders stored and handled properly. is signage correct & visible?
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• Are gas cylinders changed by a properly trained worker using proper PPE?
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• Are workers trained in how to use, store & dispose of these products safely?
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• Proper eye wash / emergency showers installed and tested on a regular basis and recorded?
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• Proper PPE is easily available to all workers. all workers trained in proper PPE and its use?
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• Is all PPE kept up to date and checked for expiration date & stored properly?
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Is any gasoline or other fuel is stored in proper safety cans with NFPA labels and a proper rated fire extinguisher nearby?
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Section notes
Sanitation
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Lunch room, rest rooms audited?
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Are washrooms and food preparation areas kept clean,with trash emptied regularly ?
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• are toilets and wash areas kept clean and provide a rest [couch] section?
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• showers provided if required?
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• proper clothing storage provided if required
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• change rooms if required
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• clean cool drinking water provided
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• lunchrooms with seating areas and refrigerator available, if a microwave is available fire extinguisher must be nearby
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• field accommodations when needed
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Are measures in place to prevent the spread of disease?
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Section notes
Material Storage
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Material storage audited [non hazardous]?
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Are materials neatly and safely racked or shelved & marked?
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Are there proper stepladders to get to materials on higher shelves if needed?
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Are storage shelves loaded below their rated capacity?
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Are storage shelves secure?
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Are aisles and walk ways marked and kept clear at all times?
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Are large and heavy objects stored on lower shelves?
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Are passageways and work areas clear of obstructions?
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Section notes
Security
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Do entry and exit procedures provide workers personal security day and night?
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Are areas that need to be secure protected by selective entry systems [badges / codes, keys etc.]?
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Are emergency (evacuation, fire, bomb threat, hostile person) procedures in place?
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Section notes
Completion
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Site Notes
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Write any recommendations here
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Full Name and Signature of the Inspector