Property Hazard Inspection

• Audit Title

• Property Name:

• Conducted on

  Date

• Inspection conducted by:

• Location
  Address

• Instructions:
  
  1. Indicate the priority of each item, choose N/A if not applicable.
  2. Tap the paper clip icon to Add Notes, Images, and Actions, assign to a member then set its priority level and due date.
  3. Complete the audit by providing a digital signature.
  
  Low priority =1-3 / Medium priority =2-6 / High priority =3-9
  Some hazards are worth more points based on the level of hazard
  The great number of points the more hazards or the higher the priority of the hazard.
  
  
  Note:
  If there have been injuries or near misses, be sure to focus attention on preventing them from happening again.

WALKING AND WORK SURFACES

• Sidewalks

  N/A

  Low Priority

  High Priority

  No Hazard
sidewalk hazards

• Add media

  Media

• Choose closest measurement.

  1/2 inch

  3/4 inch

  1 inch

  >1 inch

• Housekeeping

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Exits

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Handrails

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Parking Area

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Stairs

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Others

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Identify Deficiency:

MAINTENANCE

• Housekeeping

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Proper Storage<br>

  Yes

  No

  N/A

• Correct PPE Available

  Yes

  No

  N/A

• Others

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Identify Deficiency

ELECTRICAL

• Panel Clearance maintained<br>

  Yes

  No

  N/A

• Circuits marked<br>

  Yes

  No

  N/A

• Extension cords

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Other<br>

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Identify deficiency

CHEMICAL

• SDSs available and organized

  Yes

  No

  N/A

• Container labeling

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Storage and arrangement

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• No spillage or leakage

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Other

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Identify Deficiency:

EMERGENCY

• First Aid Kits

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Fire Extinguishers

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Lockbox and codes

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Fire Escapes

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Emergency lighting

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

BOILER/HOT WATER HEATER ROOM

• No signs of water

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Free of debris and storage

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

• Walkways are clear

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

AREA SPECIFIC HAZARDS

• Add Hazard

Hazard

• What is the area specific hazard?

• Identify the priority of this hazard?

  N/A

  Low Priority

  Medium Priority

  High Priority

  No Hazard

IPM sign

• Does building have an IPM sign?

  Yes

  No

  N/A

Completion

• signature

  Sign