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

• Cords in good condition

• Floors Clean

• First aid kit

• AED/Blood borne kit

• Add media

  Media

• Office Supply Storage Room

  Safe

  At Risk

  N/A

• No tripping hazards

• Cords in good condition

• Floors clean and good housekeeping

• Add media

  Media

• Custodial Supply Room

  Safe

  At Risk

  N/A

• Sanitary Condition

• Floors clean and dry

• No tripping hazards

• Add media

  Media

• Library Room

  Safe

  At Risk

  N/A

• No tripping hazards

• Cords in good condition

• Floor clean and good housekeeping

• Add media

  Media

• Attic Storage

  Safe

  At Risk

  N/A

• No tripping hazards

• Floors clean and good housekeeping

• Add media

  Media

• Lunch Room

  Safe

  At Risk

  N/A

• Sink and counters clean

• Refrigerator clean

• Cords in good condition

• Floor clean and dry

• Add media

  Media

• Board Room

  Safe

  At Risk

  N/A

• No tripping hazards

• Cords in good condition

• Floors clean

• Add media

  Media

• Safety Meeting Room

  Safe

  At Risk

  N/A

• No tripping hazards

• Cords in good condition

• Floors clean and good housekeeping

• Add media

  Media

• Bathrooms

  Safe

  At Risk

  N/A

• Sanitary condition

• Paper products stocked

• Floors clean and dry

• Add media

  Media

• Back Office

  Safe

  At Risk

  N/A

• No tripping hazards

• Cords in good condition

• Floors clean

• Add media

  Media

Warehouse

• Material and equipment storage neat

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

• Floor clean and dry

• Lighting adequate

• First aid kit

• AED/Blood borne kit

• Add media

  Media

• Warehouse

  Safe

  At Risk

  N/A

Mechanic shop

• Materials and equipment storage neat

• Air compressor - leaks

• Grinder - goggles, safety sign, tool rest set at 1/8"

• Cutoff saw - safety guard in place

• Drill press - goggles

• Vehicle washers - no leaks, no pressure in hose, system turned off

• Floor clean, dry and free of oil

• Lighting adequate

• Cords in good condition

• First aid kit

• AED/Blood borne kit

• Add media

  Media

• Mechanic shop

  Safe

  At Risk

  N/A

Parking Garage

• Floor clean, dry and free of oil

• lighting adequate

• Material and equipment storage neat

• Add media

  Media

• Parking garage

  Safe

  At Risk

  N/A

Storage Yard

• Transformers - stored properly and leak free

• Poles stacked neatly and secured

• Barrels labeled and leak free

• Add media

  Media

• Storage yard

  Safe

  At Risk

  N/A

General Overall

• Adequate ventilation

• Fire extinguishers inspected and charged

• No tripping hazards

• Evidence of good housekeeping

• Electrical panels clearly identified and secured

• Adequate lighting

• Chemicals labeled (MSDS available)

• Grates over drains

• Exits clearly marked, unlocked and accessible

• Heavy objects stored on lower areas

• Add media

  Media