Plymouth Industrial Center Inspection

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Ensure that the workplace is safe in accordance with the PREVENT General Industry Guide:

• Electrical Panels - Accessible<br>

  Yes

  No

  N/A

• Extension cords limited to temporary use & In good condition

  Yes

  No

  N/A

• Fire Extinguishers Serviced Annually?

  Yes

  No

  N/A

• Fire Extinguishers accessible & in working order

  Yes

  No

  N/A

• Fire sprinkler main valve secured

  Yes

  No

  N/A

• Fire sprinkler heads unobstructed by storage of materials

  Yes

  No

  N/A

• Fire sprinkler serviced/inspected annually

  Yes

  No

  N/A

• Housekeeping of combustibles and flammables acceptable

  Yes

  No

  N/A

• Smoking in designated areas only

  Yes

  No

  N/A

• To the Best of Your Knowledge All Other Hazards are Controlled?

  Yes

  No

  N/A

• Please Sign and Send this Report to Management

  Sign