Information

  • Audit Title

  • Facility

  • Address
  • Conducted on

  • Prepared by

General Environmental Controls

  • Are waste containers emptied regularly?

  • Do waste containers in food areas have tight fitting lids?

  • Is the area free of rodents, pests, and insects?

  • 5 in one poster, workers' comp, poster and safety rules placed in view?

  • Are the restrooms clean?

  • Are toilets and sinks operating properly?

  • Are restrooms adequately supplied with soap, towels, and toilet paper?

  • Are water fountains clean and working properly?

  • Is the work area kept clean and orderly?

  • Is the ventilation adequate?

  • Is the working environmental temperature within moderate range?

  • Is the break room area clean?

  • Are windows and doors in good repair and operational

  • Are locks on windows and doors in good repair and operational?

  • Are objects closer than 36' of the sprinkler heads?

  • Are objects closer than 36' of breaker boxes?

  • Are walls in good repair?

  • Are ceilings in good repair?

  • Are emergency telephone numbers posted near telephones?

  • Are emergency numbers posted near the first aid kit?

  • Are emergency evacuation plans posted?

  • Are emergency evacuation plans rehearsed within the last three months?

  • When:

  • Are safety rules and practiced posted at this location?

Walking & Working Surfaces

  • Are the floors clean?

  • Are the floors dry?

  • Are the carpets clean?

  • Are floors free of scatter rugs?

  • Do aisles and hallways have adequate clearances?

  • Do aisles and hallways free of foreign objects?

  • Are all items, merchandise and storage kept out of aisles?

  • Are all item, merchandise and storage kept out of walkways?

  • Are all items, merchandise and storage kept out of hallways?

  • Is there adequate lighting for workers/participants/others?

  • Are storage areas maintained so items will not fall, slide or collapse?

  • Are the aisles maintained at a minimum width of 44" for stationary fixtures?

  • Are aisles maintained to a minimum width of 36" for moveable fixtures?

  • Are storage areas maintained so that items will not fall, slide or collapse?

  • Are walkways and parking lots clear of foreign debris?

  • Are bushes or trees obstructing any pathways?

Exits & Entrances

  • Do all work areas have two exit doors?

  • Does one exit lead directly outside of the building?

  • Are exits and aisles to exits kept clear at all times?

  • Emergency exits are free from obstructions?

  • Electrical switch panels are free from obstructions?

  • Fire extinguishers are free from obstructions?

  • Are exit signs working?

  • Do exit doors swing in the direction of the exit?

  • Are non-exit doors that could be confused with exit doors marked as "Not An Exit"?

  • Are exit signs distinctive in color relative to their background?

  • Are exits and exit signs free of decorations, draperies or furnishings?

  • When questioned, did staff member(s) know where the nearest exit was located?

Fire Extinguishers and Fire Control

  • Does the fire extinguisher appear to be in operable condition?

  • Fully charged as evidenced by gauge?

  • Safety seal in place?

  • Fire extinguishers are checked monthly?

  • Conveniently located?

  • Tag dated within the past twelve (12) months?

  • Are extinguisher kept in their proper place at all times when not in use?

  • Are extinguishers conspicuously located and marked?

  • If blocked from view, does a sign or arrow point to the extinguisher?

  • Are all extinguishers accessible in case of fire?

  • Are all extinguishers inspected monthly by GISONT staff as verified by the extinguisher inspection tag?

  • Has the sprinkler system been checked by the sprinkler contractor within the past fifteen (15) months?

  • Are flashlights or alternative lighting sources available?

  • Are emergency evacuation plans/routes posted on each level and positioned correctly?

  • When questioned, did staff member(s) know where the nearest fire alarm was located?

  • When questioned, did staff member(s) know what to do if they discover a fire?

  • When questioned, did staff member(s) know where the nearest fire extinguisher was located?

Wiring

  • Are electrical cords in good conditions (no fraying or cracking)?

  • Are lights adequately distributed?

  • Are lights working properly?

  • Are there an adequate number of electrical outlets available?

  • Are the outlets overloaded?

  • Are unused electrical outlets covered?

  • Are electrical outlets blocked?

Storage

  • Are materials securely stacked when stored?

  • Are chemicals properly stored and labeled?

  • Are Material Safety Data Sheets (MSDS) in the building?

  • Where is the MSDS information located?

  • When questioned, did staff know where to locate the MSDS information?

  • When questioned, did staff know the purpose of the MSDS?

Training, Protection and First Aid

  • Does the location have a list of people trained in CPR, First Aid, and the use of fire extinguishers?

  • Is the information posted?

  • How many are trained in CPR?

  • How many are trained in First Aid?

  • How many are trained to use the fire extinguisher?

  • Does the location have first aid supplies available?

  • Is the first aid kit/room readily available?

  • Is the first aid kit/room adequately maintained?

  • Are expiration dates on supplies current?

  • Where is the first aid kit/room located?

  • When questioned, did staff member(s) know the location of the first aid kit/room?

  • Are first aid emergency procedures posted in eating areas?

  • Is employee emergency information readily available on all employees?

Noted Discrepancies

  • Any additional information/comments

  • Signature of Inspector

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