Title Page
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Inspection Location
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Date of Inspection
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Inspector(s)
1.0 GENERAL HOUSEKEEPING / SAFETY
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1.1 Are floors /walkway surfaces clean & free of cracks, holes, and tripping hazards?
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1.2 Aisles clear of clutter?
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1.3 Carpets are in good condition and are not damaged or loose?
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1.4 Work areas generally clean and organized with good housekeeping?
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1.5 Stairwells clear of storage, well lit, and provided with handrails?
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1.6 Does the stairwell have a visible sign marked "handrail use"?
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1.7 Storage areas adequate for the amount of material being stored?
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1.8 Materials stored in a safe and secure manner?
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1.9 Is the amount of lighting adequate for the work performed?
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1.10 All lamps (bulbs) operable?
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1.11 Ceiling tiles all in place and free of stains, holes, cracks, etc.?
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1.12 All gas monitoring devices (Oxygen, LEL) up to date with calibration?
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1.13 All hand sanitizer dispensers full?
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1.14 All machines equipped with appropriate guarding?
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1.15 Is unused or damaged equipment disposed of?
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1.16 All material handling devices inspected prior to use and utilized by properly trained / licensed individuals?
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1.17 Ceiling vents do not contain visible signs of dust or mold?
2.0 LIFE SAFETY CODE / FIRE PREVENTION
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2.1 All corridors equipped with fire rated doors?
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2.2 Are doors held open by mechanical means (no wedges)?
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2.3 Emergency egress (exit doors) kept unobstructed with adequate clearance?
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2.4 Exit signs fully illuminated?
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2.5 Fire extinguishers secured to the walls at height of 48 inches?
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2.6 Fire extinguishers and fire pull stations unobstructed?
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2.7 Fire extinguishers fulfilled their monthly and annual inspections?
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2.8 Smoke alarms and sprinklers unobstructed with at least 18 inches of clearance?
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2.9 Fire strobes and horns unobstructed and easily visible?
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2.10 Emergency "Go Bags" stocked along with walkie talkies?
3.0 ELECTRICAL
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3.1 All electrical wires free of knicks, cuts, and with no exposed wires?
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3.2 All electrical outlets are in good condition and have electrical plates?
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3.3 Electrical cords coiled when not in use and only used as temporary power?
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3.4 Electrical cords not extended along the ground, posing a tripping hazard?
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3.5 All electrical panels have external screws / bolts / locks in place?
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3.6 All electrical circuit breaker panels / disconnects are unobstructed by at least 36 inches?
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3.7 Electrical panels labeled with Arc Flash / Danger stickers?
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3.8 All appliances and power tools have 3-prong (grounded) plugs?
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3.9 GFCI electrical outlets / cords used when near sources of water or moisture?
4.0 WORK AT HEIGHTS
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4.1 All ladders stored in designated areas where they are properly secured and inspected?
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4.2 Fall protection (railings, ladder glide devices, etc.) in place where there is potential to fall 4 feet or higher?
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4.3 Aerial lifts are inspected and in good condition?
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4.4 Elevated areas free of potential drop hazards for people below?
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4.5 All non-load bearing areas have appropriate signate?
5.0 CHEMICAL / BIOLOGICAL / COMPRESSED GAS STORAGE
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5.1 Areas that contain corrosive materials equipped with emergency eye wash / showers (within 50 feet)?
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5.2 Emergency eye washes inspected weekly?
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5.3 Emergency shower inspected monthly?
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5.4 All chemicals stored in appropriate locations and / or maintained on secondary spill containment?
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5.5 All incompatible chemicals stored separately?
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5.6 Biohazardous materials / waste properly stored in designated, secured locations?
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5.7 GHS labels available for use?
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5.8 Adequate containment for broken glass / sharp materials?
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5.9 All compressed gases chained upright with valve caps in place?
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5.10 The number of compressed gas cylinders is appropriate for the storage devices that are in place to secure them?
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5.11 Do all dry-ice chests have working hinges (not rusted or compromised) and are free of damage or defects?
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5.12 Are snorkel ventilation units inspected and calibrated annually?
6.0 PERSONAL PROTECTIVE EQUIPMENT (PPE)
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6.1 Areas requiring PPE properly labeled with specific requirements?
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6.2 PPE (hearing protection, safety glasses, gloves, etc.) available in areas that require them?
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6.3 All personnel, contractors, visitors wearing appropriate PPE for the spaces they are working in?
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6.4 There is no PPE in office or other eating areas?
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6.5 PPE properly stored / disposed of when not in use?
7.0 ADDITIONAL FINDINGS / COMMENTS
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Are there any other items that pose a hazard or safety concern?