Title Page

  • Site #

  • Date

  • Auditor

  • Host Manager on Duty

  • Time Start

  • Time End

Back of House

  • 1. Is there a functional eyewash and goggles?

  • 2. Associates can get to the eyewash within 10 seconds from where chemicals are filled

  • 3. Is there a clear pathway to the eyewash station from where chemicals are filled?

  • 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?

  • 5. Safety Data Sheet (SDS) dated 2015 to the present are available in the house laundry room

  • 6. Are boiler certificates current?

  • 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.

  • 8. Is the bodily fluid kit available and properly stocked? Please provide a picture of the bodily kit

  • 9. Is Green Shield Life Safety inspection completed, log current and all deficiencies corrected?

  • 10. All chemicals are properly labeled and in closed container

  • 11. Is the Fire alarm panel should be secure?

  • 12. Is the House Laundry lint trap clean?

  • 13. (Only answer if audit is between November to March) Ice melt and snow shovel available when inclement weather exists.

  • 14. Fire annunciator panel is working and displays normal status

  • 15. House Laundry area secured (Check door strike for obstruction and door stops)

  • 16. CAP Line poster is posted in an associate area only

Break room

  • 1. Prostitution and Human Trafficking Policy is posted in the breakroom

  • 2. (Only answer if audit is between February 1st to April 30th) Are OSHA Logs posted in breakroom?

Common Areas

  • 1. Lobby doors are secure and functioning properly

  • 2. Are side and back exterior doors secured and functioning properly?

  • 3. All door railing is secure

  • 4. Are the STAYconfident posters posted in the lobby and elevators?

  • 5. Check mats to make certain they are in good condition and lie flat at doors that lead to the outside

  • 6. Are additional mats available at entrances when inclement weather exists?

  • 7. ADA door functions are operating properly

  • 8. Is the guest laundry free of visible water leaks, chemical leaks, and evidence of past leaks that could lead to mold/ other concerns?

  • 9. Is the fire extinguisher tag current with inspections

  • 10. Is the emergency lighting working?

  • 11. Indoor staircases have even surface that are not chipped and crumbling

  • 12. Are the Guest Laundry lint traps clean?

Exterior

  • 1. Are the exterior staircases and railings in good condition and free of trip hazards?

  • 2. Is the parking lot free of any slip, trips and fall hazards?

  • 3. Removal of abandoned or inoperable vehicles

  • 4. Removal of excess or overgrown landscaping

  • 5. All outdoor railing is secure

Managers Office

  • 1. All cameras are functioning properly

  • 2. Safe Lock combination changed following the departure of any associate that knew the combination or the code combination has been compromised

  • 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.

  • 4. All associates have completed the training for the following policy: Prostitution and Human Trafficking Policy

  • 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.

  • 6. (Only answer if audit is after May 1st) Are OSHA logs filed in managers office?

  • 7. Emergency key is secure with limited access

  • 8. Are non-management associates wearing slip resistant shoes?

  • 9. (For California only associates) All associates have completed the OSHA compliance course Musculoskeletal injury illness Prevention Plan

Front Desk

  • 1. Are the First Response Procedures available at the front desk?

  • 2. Are the First Response and Crises hotline posters posted in an easily accessible area?

  • 3. Guest information treated as confidential and never verbally announced

  • 4. Compliance with policy for issuing an additional room key

  • 5. Is the encoder (Onity; Assa Abloy and Saflok) secured with limited access

  • 6. Is the lock programmer secured with limited access?

  • 7. Office area is secure (check door strike for obstruction and for door stops)

  • 8. All Master Keys are in a secure location when not in use

  • 9. General Manager must demonstrate how to rekey the hotel

  • 10. Hotel rekeyed within the past 6 months

  • 11. Is the CCTV system equipped with a wall mounted guest facing TV monitor integrated CCTV camera?

  • 12. Cash count to ensure all funds can be accounted for

  • 13. Have preventive pest control services been performed within the last 3 months

  • 14. Bedbug complaint or claim was received in the last 3 months and a professional bedbug inspection was completed

  • 15. Accountability and inventory of all Master Keys

  • 16. Master Key log is current and accurate

  • 17. Are all former employees deactivated from key box?

  • 18. Is the safe bolted to the floor?

  • 19. Is the safe deposit box bolted to the floor?

  • 20. In the event the encoder is not operational, hotel has backup keys available for each room?

Pool

  • 1. Safety equipment such as working telephone, body hook, ring buoy, and safety rope are available and in good condition

  • 2. Gates/Door are self-closing or self-latching and working properly

  • 3. Deck Area is cleared of trip hazards and in good repair?

  • 4. Is the ADA pool lift functioning properly?

Housekeeping Cart

  • 1. All chemicals on housekeeping carts are properly labeled ESA approved chemicals

  • 2. SHARPS container, properly labeled and not overfilled? Pick up tongs available?

Guest Room 1

  • Room #

  • 1. Window restrictions are installed in guest rooms

  • 2. Smoke detectors are available in guest rooms

  • 3. GFCI outlets and cover plates are present in guest rooms

  • 4. Window locks work correctly in the guest room.

Guest Room 2

  • Room #

  • 1. Window restrictions are installed in guest rooms

  • 2. Smoke detectors are available in guest rooms

  • 3. GFCI outlets and cover plates are present in guest rooms

  • 4. Window locks work correctly in the guest room.

Guest Room 3

  • Room #

  • 1. Window restrictions are installed in guest rooms

  • 2. Smoke detectors are available in guest rooms

  • 3. GFCI outlets and cover plates are present in guest rooms

  • 4. Window locks work correctly in the guest room.

Guest Room 4

  • Room #

  • 1. Window restrictions are installed in guest rooms

  • 2. Smoke detectors are available in guest rooms

  • 3. GFCI outlets and cover plates are present in guest rooms

  • 4. Window locks work correctly in the guest room.

Guest Room 5

  • Room #

  • 1. Window restrictions are installed in guest rooms

  • 2. Smoke detectors are available in guest rooms

  • 3. GFCI outlets and cover plates are present in guest rooms

  • 4. Window locks work correctly in the guest room.

Conclusion

  • Key Take Away

  • Immediate Actions Taken

  • Action Plan to correct areas of Concern

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