Quarterly Facility Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Office Building

• Front Office

  Safe

  At Risk

  N/A

• No tripping hazards

  Yes

  No

  N/A

• Cords in good condition

  Yes

  No

  N/A

• Floors clean

  Yes

  No

  N/A

• First aid/AED/Bloodborne kits are available

  Yes

  No

  N/A

• Exits properly marked

  Yes

  No

  N/A

• Lighting levels and types are ideal for the work area

  Yes

  No

  N/A

• Fire extinguishers are available

  Yes

  No

  N/A

• Emergency action plan is available

  Yes

  No

  N/A

• Multiple types of public safety education materials are available

  Yes

  No

  N/A

• Add media

  Media

• Office Supply Storage Room

  Safe

  At Risk

  N/A

• No tripping hazards

  Yes

  No

  N/A

• Cords are in good condition

  Yes

  No

  N/A

• Floors are clean and good housekeeping

  Yes

  No

  N/A

• Add media

  Media

• Custodial Supply Room

  Safe

  At Risk

  N/A

• Sanitary conditions

  Yes

  No

  N/A

• Floors are clean and dry

  Yes

  No

  N/A

• No tripping hazards

  Yes

  No

  N/A

• Add media

  Media

• Library Room

  Safe

  At Risk

  N/A

• No tripping hazards

  Yes

  No

  N/A

• Cords are in good condition

  Yes

  No

  N/A

• Floors are clean and good housekeeping

  Yes

  No

  N/A

• Add media

  Media

• Attic Storage

  Safe

  At Risk

  N/A

• No tripping hazards

  Yes

  No

  N/A

• Floors are clean and good housekeeping

  Yes

  No

  N/A

• Add media

  Media

• Lunch Room

  Safe

  At Risk

  N/A

• Sinks and counters are clean

  Yes

  No

  N/A

• Refrigerator is clean

  Yes

  No

  N/A

• Cords are in good condition

  Yes

  No

  N/A

• Floors are clean and dry

  Yes

  No

  N/A

• Add media

  Media

• Board Room

  Safe

  At Risk

  N/A

• No tripping hazards

  Yes

  No

  N/A

• Cords are in good condition

  Yes

  No

  N/A

• Floors are clean

  Yes

  No

  N/A

• Add media

  Media

• Safety Meeting Room

  Safe

  At Risk

  N/A

• No tripping hazards

  Yes

  No

  N/A

• Cords are in good condition

  Yes

  No

  N/A

• Floors are clean and good housekeeping

  Yes

  No

  N/A

• Add media

  Media

• Bathrooms

  Safe

  At Risk

  N/A

• Sanitary conditions

  Yes

  No

  N/A

• Paper products are stocked

  Yes

  No

  N/A

• Floors are clean and dry

  Yes

  No

  N/A

• Add media

  Media

• Back Office

  Safe

  At Risk

  N/A

• No tripping hazards

  Yes

  No

  N/A

• Cords are in good condition

  Yes

  No

  N/A

• Floors are clean

  Yes

  No

  N/A

• Add media

  Media

Warehouse

• Materials and equipment are stored in a safe and orderly manner

  Yes

  No

  N/A

• Shelves, bins, and racks are designed and marked with the weight ratings and capacities

  Yes

  No

  N/A

• Docks are in good condition and meet regulatory requirements

  Yes

  No

  N/A

• Grinder has goggles, safety signs, and tool rest set at 1/8"

  Yes

  No

  N/A

• Floors are clean and dry

  Yes

  No

  N/A

• Lighting is adequate

  Yes

  No

  N/A

• First aid/AED/Bloodborne kits are available

  Yes

  No

  N/A

• Portable battery chargers are marked with "No Smoking" and "Eye Protection Required" signs

  Yes

  No

  N/A

• Ladders are in good condition

  Yes

  No

  N/A

• Eyewash is available if needed

  Yes

  No

  N/A

• Fire extinguishers are available

  Yes

  No

  N/A

• Hand trucks and hand carts are available and have suitable capacities for handling materials

  Yes

  No

  N/A

• Hazard identification markings are in use and meet requirements

  Yes

  No

  N/A

• Flammable cabinets are available for flammable material storage

  Yes

  No

  N/A

• Add media

  Media

• Overall condition of the Warehouse

  Safe

  At Risk

  N/A

Mechanic shop

• Materials and equipment are stored neatly

  Yes

  No

  N/A

• Air compressor is properly guarded and has no leaks

  Yes

  No

  N/A

• Grinder has goggles, safety signs, and tool rest set at 1/8"

  Yes

  No

  N/A

• Cutoff as is properly guarded

  Yes

  No

  N/A

• Drill press has goggles available

  Yes

  No

  N/A

• Vehicle washer has no leaks, no pressure in the hose, and turned off

  Yes

  No

  N/A

• Hazard indenifications are in used and meet requirements

  Yes

  No

  N/A

• Floors are clean, dry, and free of oil

  Yes

  No

  N/A

• Fire extinguishers are available

  Yes

  No

  N/A

• Lighting is adequate

  Yes

  No

  N/A

• Cords are in good condition

  Yes

  No

  N/A

• Eyewash is available if needed

  Yes

  No

  N/A

• First aid/AED/Bloodborne kits are available

  Yes

  No

  N/A

• Proper trash containers are refill available

  Yes

  No

  N/A

• Ladders are in good condition

  Yes

  No

  N/A

• Gas cylinders are capped and scored in an upright position

  Yes

  No

  N/A

• Hoist, floor jacks, and jack stands are clearly marker with capacity and in good condition

  Yes

  No

  N/A

• Cranes and overhead lifting devices are inspected

  Yes

  No

  N/A

• Portable battery chargers are clearly marked with "No Smoking" and. "Eye Protection Required" signs

  Yes

  No

  N/A

• Flammable storage cabinets are available for storage of flammable materials

  Yes

  No

  N/A

• Add media

  Media

• Overall condition of the Mechanic shop

  Safe

  At Risk

  N/A

Parking Garage

• Floors are clean, dry, and free of oil

  Yes

  No

  N/A

• Lighting is adequate

  Yes

  No

  N/A

• Materials and equipment are stored neatly

  Yes

  No

  N/A

• Add media

  Media

• Overall condition of the Parking garage

  Safe

  At Risk

  N/A

Storage Yard

• Transformers are stored properly and leak free

  Yes

  No

  N/A

• Poles are stacked neatly and secure

  Yes

  No

  N/A

• Barrels are labeled and leak free

  Yes

  No

  N/A

• Fueling stations are equipped and maintained with the proper safety equipment

  Yes

  No

  N/A

• Add media

  Media

• Overall condition of the Storage Yard

  Safe

  At Risk

  N/A