Information
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Document No.
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Location Name
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Conducted on
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Prepared by
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Location
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Personnel
- Parking Lot
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General Condition of Parking Surfaces
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Add media
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Signage
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Curbs & Ramps
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Add media
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Additional Comments or Observations
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Lighting Around Property
Lighting
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General Condition
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Add media
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Pole Lights
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Add media
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Sidewalk Lighting
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Add media
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Additional Comments or Observations
Grounds
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Condition of sidewalks and walking surfaces
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Add media
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Condition of exterior stairs and steps
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Additional Comments or Observations
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Maintenance & Facilities Department
Signage
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General Condition
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Access to PPE supplies
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Condition of Ladders
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Are on-site staff knowledgeable on ladder safety
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Add media
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Have staff been provided with training on Ladder usage & safety
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Condition of Maintenance Tools & Equipment
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Chemical Storage
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Additional Comments or Observations
Fire Detection & Sprinkler Protection
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Are Sprinkler Valves in Open & Locked
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Any evidence of sprinkler valve tampering
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Fire Detection On-site
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Fire Extinguishers located on-site
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Additional Comments or Observations
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Emergency Response Plan
Emergency Response Plan
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Emergency Response Plan Procedure
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ER Plan & Procedure Communicated to Residents
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Emergency Lighting & Signage
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Additional Comments or Observations
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Trash Handling & Removal
Trash Handling & Removal
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General Comments
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Compactor Area / Trash Storage Area Clean
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Compactor equipped with working safety shut off & limit devices
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Employees using gloves for trash removal
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Site equipped with Waste Caddy
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Are staff using the Waste Caddy for dumpster moving
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Employees required to lift or move trash over 50 pounds
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Add media
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Additional Comments or Observations
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Critical Issues Identified
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Recommendations
