Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Fire extinguishers

  • Are all fire extinguishers fully charged and in their designated places?

  • Are fire extinguishers accessible?

  • Is the number of fire extinguishers adequate?

  • Are extinguishers clear of obstructions?

  • Are fire extinguishers inspected and maintained regularly?

Medical Services and First Aid

  • Is there a hospital or clinic for medical care near your workplace or is at least one employee on each shift currently qualified to render first aid?

  • Have all employees who are expected to respond to medical emergencies as part of their job responsibilities received first aid training; had hepatitis B vaccination made available to them; had appropriate training on procedures to protect them from bloodborne pathogens; and have available and understand how to use appropriate PPE to protect against exposure to bloodborne diseases?

  • Are emergency phone numbers posted?

  • Are first aid kits easily accessible, periodically inspected and replenished as needed?

Emergency Exits

  • Are emergency exits clearly marked?

  • Are illuminated exit signs working properly?

  • Are all exits free of obstructions?

  • Are there sufficient exits to permit prompt escape in case of emergency?

  • Are exit doors able to be opened from the direction of exit travel without the use of a key or any special knowledge or effort when the building is occupied?

  • When panic hardware is installed on a required exit door, will it allow the door to open by applying a force of 15 pounds or less in the direction of travel?

Hallways and Lobby

  • Are hallways clear of obstructions and trip hazards?

  • Is hallway lighting adequate?

  • Is lobby free of obstructions and trip hazards?

  • Is lobby lighting adequate?

  • Are emergency phone numbers readily available?

  • Are emergency exits clearly marked?

Classrooms

  • Are classrooms tidy and free of obstructions and trip hazards?

  • Are covers installed on electrical receptacles?

  • Are locks installed on cabinets containing any hazardous materials?

  • Are chemicals properly stored and labeled?

  • Is furniture in good condition?

Storage

  • Is storage tidy and free of obstructions and trip hazards?

  • Is storage area accessible to children?

  • Are gas bottles secured?

Hazardous Substances Communication

  • Is there a list of hazardous substances used in your workplace and an SDS readily available for each hazardous substance?

  • Is there a current written exposure control plan for occupational exposure to bloodborne pathogens and other potentially infectious materials, where applicable?

  • Is each container for hazardous substance (i.e., vats, bottles etc.) labeled with product identity and a hazard warning (communication of the specific health hazards and physical hazards)?

  • Are chemicals properly stored and labeled?

  • Are all secondary containers properly labeled?

Electrical rooms and panels

  • Are electrical rooms free of obstructions?

  • Is there a 3 foot minimum clearance around electrical panels?

  • Are all panel openings enclosed and live components covered?

Completion

  • Conducted by:

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.