Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Second Floor Office Area

  • Do all of the lights work?

  • Does the HVAC work properly?

  • Are the ceiling tiles in good condition?

Second Floor Men's Room

  • Do all of the lights work?

  • Does the HVAC work properly?

  • Are the ceiling tiles in good condition?

  • Is the floor clean and free of puddles?

  • Does the Plumbing work?

Second Floor Ladies' Room

  • Do all of the lights work?

  • Does the HVAC work properly?

  • Are the ceiling tiles in good condition?

  • Is the floor clean and free of puddles?

  • Does the plumbing work?

Second Floor Public Area

  • Do all of the lights work?

  • Are the ceiling tiles in good condition?

  • Does the Van Leer exit door work properly?

Second Floor Lab Hallway

  • Do the access doors work properly?

  • Do all of the lights work?

  • Does the HVAC work properly?

  • Are the ceiling tiles in good condition?

  • Is the emergency stairway properly lit and free of obstructions?

Chase 253

  • Do all of the lights work?

  • Are the electrical panels free of obstructions?

  • Is the area free of any spills, unusual odors, or other hazards or problems?

  • Are hoses,pipe or tubing properly connected??

Chase 261

  • Do all of the lights work?

  • Are the electrical panels free of obstructions?

  • Is the area free of any spills, unusual odors, or other hazards or problems?

  • Are hoses, pipe or tubing properly connected?

First Floor Office Area

  • Do all of the lights work?

  • Does the HVAC work properly?

  • Are the ceiling tiles in good condition?

  • Do the office area doors work properly?

First Floor Men's room

  • Do all of the lights work?

  • Does the HVAC work properly?

  • Are the ceiling tiles in good condition?

  • Is the floor clean and free of puddles?

  • Does the plumbing work?

First Floor Public Area

  • Do all of the lights work?

  • Does the HVAC work properly?

  • Are the ceiling tiles in good condition?

  • Do the front doors and breezeway door work properly?

Conference Room 102

  • Do all of the lights work?

  • Does the HVAC work properly?

  • Are the ceiling tiles in good condition?

Vending Machine Area

  • Is the area clean?

  • Is the recycling area clear?

First Floor Lab Hallway

  • Do all of the lights work?

  • Does the HVAC work?

  • Are the ceiling tiles in good condition?

  • Is the emergency stairway properly lit and free of obstructions?

Chase 158

  • Do all of the lights work?

  • Are the electrical panels free of obstructions?

  • Are hoses, pipe or tubing properly connected?

  • Is the area free of any spills, unusual odors, or other hazards or problems?

Chase 166

  • Do all of the lights work?

  • Are the electrical panels free of obstructions?

  • Are hoses, pipe or tubing properly connected?

  • Is the area free of any spills, unusual odors, or other hazards or problems?

Cleanroom Level Hallway

  • Do all of the lights work?

  • Does the HVAC work?

  • Are the ceiling tiles in good condition?

  • Do the two exit doors work properly?

  • Is the emergency stairway properly lit and free of obstructions?

Mezzanine

  • Do all of the lights work?

  • Does the HVAC work?

  • Are the ceiling tiles in good condition?

  • Is the area free of any spills, unusual odors, or other hazards or problems?

Basement Hallway

  • Do all of the lights work?

  • Does the HVAC work?

  • Are the ceiling tiles in good conditions?

  • Do the double doors work properly?

Loading Dock

  • Is the loading dock free of any hazards?

  • Are the chemicals/cylinders stored properly?

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.