Title Page
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Survey Date
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Building/Rooms Covered on this Checklist
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Prepared by
Office Safety Checklist
INSTRUCTIONS
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*During the survey of the designated area, complete the checklist below. Check N/A if the item does not apply."
A. Basic Life Safety
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1a. Are exit signs illuminated and visible?
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Corrective Action Taken
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Correction Completed
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1b. Are corridors and exits free from obstructions and unlocked?
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Corrective Action Taken
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Correction Completed
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1c. Access to exit doesn't require travel through high hazard area?
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Corrective Action Taken
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Correction Completed
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1d. Stairway steps are uniform in size?
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Corrective Action Taken
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Correction Completed
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1e. Is the Emergency Evacuation Route & Action Plan posted?
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Corrective Action Taken
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Correction Completed
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1f. Are exit doors closed and not propped open?
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Corrective Action Taken
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Correction Completed
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1g. Is there obvious damage to sprinklers?
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Corrective Action Taken
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Correction Completed
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1h. Are fire extinguishers easily accessible, checked monthly and operational?
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Corrective Action Taken
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Correction Completed
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1i. Are fire extinguishers mounted so that the travel distance from employees to any extinguisher is 75 feet or less?
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Corrective Action Taken
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Correction Completed
2. General Office Safety
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2a. Are aisles, doorways and corners free of obstructions to permit visibility and movement?
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Corrective Action Taken
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Correction Completed
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2b. Lighting in work areas and walkways adequate?
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Corrective Action Taken
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Correction Completed
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2c. Are chairs in safe condition and are casters, rungs and legs sturdy?
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Corrective Action Taken
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Correction Completed
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2d. Are all equipment and supplies in their proper places?
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Corrective Action Taken
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Correction Completed
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2e. Is there adequate walking and egress clearance? <br> a. 44" for corridors <br> b. 36" for aisles <br> c. 32" for doors
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Corrective Action Taken
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Correction Completed
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2f. Are carts, dollies, etc. available for use in transporting heavy objects and boxes?
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Corrective Action Taken
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Correction Completed
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2g. Is housekeeping being adequately maintained?
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Corrective Action Taken
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Correction Completed
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2h. Are SDS available for office and housekeeping chemicals?
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Corrective Action Taken
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Correction Completed
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2i. Are OSHA posters prominently displayed?
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Corrective Action Taken
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Correction Completed
3. Trip/Fall Hazards
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3a. Is the floor surface level and undamaged?
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Corrective Action Taken
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Correction Completed
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3b. The floor is not wet or slippery? <br> a. A warning sign is available in case of spills? <br> b. Cleanup supplies are readily available? <br> c. Non-slip mats are in entryways if needed?
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Corrective Action Taken
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Correction Completed
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3c. Are carpeted areas clean, carpets secured to floor and free of worn or frayed seams?
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Corrective Action Taken
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Correction Completed
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3d. Is any equipment or supplies protruding into walkways?
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Corrective Action Taken
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Correction Completed
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3e. Are there cords or cables causing a trip hazard?
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Corrective Action Taken
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Correction Completed
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3f. Are permanent use cords covered by runners when crossing walkways?
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Corrective Action Taken
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Correction Completed
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3g. Is a step stool or ladder available to minimize the use of chairs for reaching high objects?
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Corrective Action Taken
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Correction Completed
4. Electrical
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4a. Are GFCI outlets within 6 feet of a water source?
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Corrective Action Taken
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Correction Completed
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4b. Is access to electrical panels or electrical room unobstructed? (at least 36")
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Corrective Action Taken
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Correction Completed
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4c. Are outlets overloaded?
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Corrective Action Taken
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Correction Completed
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4d. Extension cords are not used in lieu of fixed wiring?
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Corrective Action Taken
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Correction Completed
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4e. A maximum of one power strip per electrical receptacle is used? <br> (no daisy chains)
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Corrective Action Taken
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Correction Completed
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4f. Electrical cords and plugs are in good condition? <br> (i.e., not frayed, taped, spliced, or missing ground prongs)
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Corrective Action Taken
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Correction Completed
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4g. Electrical receptacles are in good working condition?
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Corrective Action Taken
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Correction Completed
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4h. All electrical equipment in good working condition?
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Corrective Action Taken
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Correction Completed
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4i. Are electrical closets free of storage?
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Corrective Action Taken
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Correction Completed
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4j. Are personal appliances such as space heaters or coffee makers compliant with the buildings electrical circuit system?
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Corrective Action Taken
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Correction Completed
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4k. Are space heaters equipped with a multi-directional tip-over switch?
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Corrective Action Taken
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Correction Completed
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4l. Are space heaters equipped with an overheat switch?
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Corrective Action Taken
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Correction Completed
5. Maintenance (outside & inside)
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5a. Are doors and locks in good working order?
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Corrective Action Taken
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Correction Completed
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5b. Are ceiling tiles intact, undamaged and in place?
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Corrective Action Taken
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Correction Completed
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5c. Are there signs of weather damage or mold growth in the facility?
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Corrective Action Taken
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Correction Completed
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5d. Are all windows unbroken and free from any type of damage?
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Corrective Action Taken
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Correction Completed
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5e. Do air conditioning vents and ducts appear to be clean upon visual inspection?
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Corrective Action Taken
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Correction Completed
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5f. Are outside lights in good working order?
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Corrective Action Taken
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Correction Completed
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5g. Does the exterior of the building present no safety concerns?
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Corrective Action Taken
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Correction Completed
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5h. Is the parking lot area free of any safety concerns? <br> (i.e. overgrown landscaping, uneven pavement, traffic hazards)
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Corrective Action Taken
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Correction Completed
Additional Comments/Pics
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Additional Comments