Title Page
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Site #
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Date
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Auditor
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Host Manager on Duty
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Time Start
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Time End
Back of House
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1. Is there a functional eyewash and goggles?
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2. Associates can get to the eyewash within 10 seconds from where chemicals are filled
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3. Is there a clear pathway to the eyewash station from where chemicals are filled?
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4. Is the house laundry area free of visible water leaks, chemical leaks, and evidence of past leaks that could lead to mold/other concerns?
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5. Safety Data Sheet (SDS) dated 2015 to the present are available in the house laundry room
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6. Are boiler certificates current?
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7. Are pairs of gloves available and properly stocked? Provide a picture of available inventory of gloves and / or an invoice or receipt with glove purchase within the last month.
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8. Is the bodily fluid kit available and properly stocked? Please provide a picture of the bodily kit
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9. Is Green Shield Life Safety inspection completed, log current and all deficiencies corrected?
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10. All chemicals are properly labeled and in closed container
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11. Is the Fire alarm panel should be secure?
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12. Is the House Laundry lint trap clean?
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13. (Only answer if audit is between November to March) Ice melt and snow shovel available when inclement weather exists.
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14. Fire annunciator panel is working and displays normal status
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15. House Laundry area secured (Check door strike for obstruction and door stops)
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16. CAP Line poster is posted in an associate area only
Break room
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1. Prostitution and Human Trafficking Policy is posted in the breakroom
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2. (Only answer if audit is between February 1st to April 30th) Are OSHA Logs posted in breakroom?
Common Areas
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1. Lobby doors are secure and functioning properly
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2. Are side and back exterior doors secured and functioning properly?
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3. All door railing is secure
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4. Are the STAYconfident posters posted in the lobby and elevators?
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5. Check mats to make certain they are in good condition and lie flat at doors that lead to the outside
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6. Are additional mats available at entrances when inclement weather exists?
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7. ADA door functions are operating properly
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8. Is the guest laundry free of visible water leaks, chemical leaks, and evidence of past leaks that could lead to mold/ other concerns?
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9. Is the fire extinguisher tag current with inspections
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10. Is the emergency lighting working?
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11. Indoor staircases have even surface that are not chipped and crumbling
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12. Are the Guest Laundry lint traps clean?
Exterior
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1. Are the exterior staircases and railings in good condition and free of trip hazards?
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2. Is the parking lot free of any slip, trips and fall hazards?
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3. Removal of abandoned or inoperable vehicles
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4. Removal of excess or overgrown landscaping
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5. All outdoor railing is secure
Managers Office
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1. All cameras are functioning properly
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2. Safe Lock combination changed following the departure of any associate that knew the combination or the code combination has been compromised
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3. All associates have completed their current OSHA compliance and safety trainings for the following courses: Bloodborne Pathogens/Injury Prevention Plan; lock Out Tag Out; Hazardous Communications.
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4. All associates have completed the training for the following policy: Prostitution and Human Trafficking Policy
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5. District Manager or General Manager has spoken to all staff about the prostitution and Human trafficking Policy, asked if any associates has observed any indicators and answered any questions.
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6. (Only answer if audit is after May 1st) Are OSHA logs filed in managers office?
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7. Emergency key is secure with limited access
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8. Are non-management associates wearing slip resistant shoes?
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9. (For California only associates) All associates have completed the OSHA compliance course Musculoskeletal injury illness Prevention Plan
Front Desk
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1. Are the First Response Procedures available at the front desk?
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2. Are the First Response and Crises hotline posters posted in an easily accessible area?
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3. Guest information treated as confidential and never verbally announced
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4. Compliance with policy for issuing an additional room key
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5. Is the encoder (Onity; Assa Abloy and Saflok) secured with limited access
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6. Is the lock programmer secured with limited access?
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7. Office area is secure (check door strike for obstruction and for door stops)
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8. All Master Keys are in a secure location when not in use
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9. General Manager must demonstrate how to rekey the hotel
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10. Hotel rekeyed within the past 6 months
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11. Is the CCTV system equipped with a wall mounted guest facing TV monitor integrated CCTV camera?
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12. Cash count to ensure all funds can be accounted for
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13. Have preventive pest control services been performed within the last 3 months
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14. Bedbug complaint or claim was received in the last 3 months and a professional bedbug inspection was completed
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15. Accountability and inventory of all Master Keys
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16. Master Key log is current and accurate
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17. Are all former employees deactivated from key box?
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18. Is the safe bolted to the floor?
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19. Is the safe deposit box bolted to the floor?
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20. In the event the encoder is not operational, hotel has backup keys available for each room?
Pool
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1. Safety equipment such as working telephone, body hook, ring buoy, and safety rope are available and in good condition
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2. Gates/Door are self-closing or self-latching and working properly
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3. Deck Area is cleared of trip hazards and in good repair?
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4. Is the ADA pool lift functioning properly?
Housekeeping Cart
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1. All chemicals on housekeeping carts are properly labeled ESA approved chemicals
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2. SHARPS container, properly labeled and not overfilled? Pick up tongs available?
Guest Room 1
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Room #
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1. Window restrictions are installed in guest rooms
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2. Smoke detectors are available in guest rooms
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3. GFCI outlets and cover plates are present in guest rooms
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4. Window locks work correctly in the guest room.
Guest Room 2
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Room #
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1. Window restrictions are installed in guest rooms
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2. Smoke detectors are available in guest rooms
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3. GFCI outlets and cover plates are present in guest rooms
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4. Window locks work correctly in the guest room.
Guest Room 3
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Room #
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1. Window restrictions are installed in guest rooms
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2. Smoke detectors are available in guest rooms
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3. GFCI outlets and cover plates are present in guest rooms
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4. Window locks work correctly in the guest room.
Guest Room 4
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Room #
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1. Window restrictions are installed in guest rooms
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2. Smoke detectors are available in guest rooms
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3. GFCI outlets and cover plates are present in guest rooms
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4. Window locks work correctly in the guest room.
Guest Room 5
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Room #
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1. Window restrictions are installed in guest rooms
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2. Smoke detectors are available in guest rooms
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3. GFCI outlets and cover plates are present in guest rooms
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4. Window locks work correctly in the guest room.
Conclusion
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Key Take Away
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Immediate Actions Taken
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Action Plan to correct areas of Concern