Title Page

  • Audit Title

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Venting of exhaust Gases.

  • Outdoors away from intakes and windows.

  • Chimney and fuel constructed and installed properly.

  • Carbon monoxide alarm installed.

Fire and life safety.

  • Adequate emergency egress.

  • Each sleeping room.

  • Detector between kitchen and bedrooms.

  • One of each floor level.

  • Placement should be on the ceiling or alternately on a wall between 10 cm to 30.5 cm away from ceiling.

  • Check detectors for 10 years of age and proper operation.

  • One department standard fire extinguisher 10 lb (4-A:40-B:C) and well mounted in each kitchen.


  • If emergency generator is not available to provide emergency lightning, provide battery packed emergency lights.

Window grilles.

  • Operable from the inside.

  • Minimum opening: 5.7 ft (0.59m)

  • Minimum dimension:24" (61cm) x 20" (51 cm) and not be more than 44" (112 cm) from the floor.

  • Bars and grilles must have inside release mechanism.

Water heater protection. Temperature and pressure relief valves.

  • Separate temperature and pressure relief valves (PRV and TRV) or combination temperature and pressure relief valves (TPRV) installed.

  • TPRV drain piping installed to direct discharge to floor.

  • TPRV drain piping is not reduced, threaded at the end and has not uphill runs.

  • TPRV drain piping has no other valve downstream of TPRV

Set water temp.

  • Mark control dial 49 Celsius or water temperature is not above 49 degrees Celsius or 120 degrees F

  • Label instructions on gas water heaters.

Gas connections.

  • Water heaters & Gas stove connected with metallic flexible pipe

Stove Shutoff.

  • Gas control shut off valve be connected away from top of the stove.

Gas line marking.

  • Gas line are marked with yellow paint.

Residence address sign on front of the wall.

  • Ensure there is a sign on wall of the house showing the address.

Plate glass safety. Tempered safety glass locations.

  • Entry and exit doors, storm doors, glass sliding doors.

  • Window located within 18" (46cm) of the floor.

  • Doors and enclosures for bathtubs, showers, sauna.

  • Stairways enclosures and handrails panels.

  • Locations listed above without tempered glass, need safety glass or non-breakable replacement materials, or protection with barriers. Doors at ground level may be treated with a Mylar coating or with decals or markings.

  • Glass installed in showers and stairs must be tempered or install Mylar film at outer side.

Electrical safety. Ground fault circuit interrupters.

  • Install 10 mA GFCIs protections for all kitchen receptacles above counter top and all bathrooms. Use downstream protection for multiple receptacles if possible.


  • An effective grounding system for a typical apartment or house includes a grounding electrode conductor (GEC) to connect to main service ground terminal to a grounding electrode system. Impedance of the ground path for any made electrodes may not exceed 25 ohms, as measured using the 3 terminal resistance measurement method and an earth electrode tester.

  • Verify and if missing, contact the FIR/FAC help desk via e-mail obo@cesengineers.com or call 866-949-6751 for assistance with grounding system installation.

  • Grounding of plug connected appliances and cords.


  • Impedance of the ground path for any made electrodes may not exceed 25 OHMS.

Electric service supply and panels.

  • Missing knock-outs and twist-out in breakers/fuse panels must have fill plates.

  • Breaker/fuse pane, front working clearance of 30" (76cm) wide x 36" (92cm) deep.

  • Breaker and fuses labeled as to function/area served.

Electrical safety.

  • Any outdoor service entrance, outlets and switch boxes have weatherproof covers.

Outdoor outlets.

  • Any outdoor service, outlets exposed to rain is disable excluding water pump and electric water heater.

Circuit capacity.

  • • Review usage and capacity and avoid excessive electrical loads. Verify that the following most commonly used branch circuit connectors in residences are protected by fuses or circuit breakers having trip elements not larger than:<br>​Wires (Comparable U.S. Wire Size)​Trip Setting<br>​1.5 mm2 (smaller than #14 AWG, 15A)​ 10A<br>​2.5 mm2 (smaller than #12 AWG, 20A)​ 16A<br>​ 4 mm2 (smaller than #10 AWG, 30A)​ 25A<br>​ 6 mm2 (smaller than # 8 AWG, 50A)​ 40A<br>​10 mm2 (smaller than # 6 AWG, 65A)​ 50A<br>​16 mm2 (smaller than # 4 AWG, 85A)​ 60A

Fall protection. Railings.

  • Installed on All porches, balconies and raised floor surfaces more than 30" (76cm) above the floor or grade below.

  • Sturdy supports (balusters) with no openings larger than 4" (10cm) and bottom of railing assembly no more than 4" (10cm) from the floor.

  • Top of railing is 42" (107cm) or more from floor or grade level.<br><br>

Stairs and handrails.

  • Steps have evenly-spaced risers.

  • Any open risers between steps do not have an opening larger than 4" (10cm)

  • • Where there are 4 or more risers (steps), at least one handrail installed (right-side descending preferred) for any enclosed stairway. For stairs open on one or both sides, a handrail is installed on the open side(s). Installed handrails are 34-38” (86 cm) from the top of the stair tread nosing and can withstand a force of 200 lbs. (91 kg) in any direction<br>

  • For open stairways, supports (balusters) no more than 4" (10cm) apart.


  • Acquisitions: asbestos inspection conducted and impact of asbestos determined.

  • Asbestos materials identified and maintained in good condition.

  • Maintenance and minor renovations avoid disturbance of asbestos materials.

  • If asbestos material is to be disturbed, it is removed properly and records of removal and disposal are maintained.

Leaded paint.

  • Only lead-free paint is applied.

  • Paint in good condition with minimal damage.

  • Paint sampled prior to renovation or major maintenance work.

  • Leaded paint removed prior to start of work or minimise disturbance.


  • Building conditions or location not inviting to common local pests.

  • No history of chronic pest problems or extensive pesticide use.

  • Pest control measures to reduce pest habits, ants wasps ETC

  • Self-help measures to control pests. (If control measures are not effective)

  • Apply pesticides listed in the IPM only as a last resort.

Drinking water quality.

  • If tap water not potable. Then supplemental means ( eg point of use device such a distiller.) are used to render the water potable and quality control monitoring is done.

Water storage tanks.

  • Tanks covers are secured from flooded water or other contamination, for tear wear or damage.

Local considerations. Air quality and seismic safety.

  • All walls free of dampness with allowable moisture content.

  • Checks for cracks on the walls and building structures.

  • • used metal straps which are bolted using expansion bolts to a masonry wall, or lag bolts to a wood stud wall, at the top of the water heater and propane cylinders

  • Space blocked between water heater and wall to prevent rocking tall furniture such as bookcases should be secured to prevent sliding or tipping, using L-brackets or other device and remove casters or wheels to prevent rolling.<br>

  • Summary of safety issues as follow. (Make ready)

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.