Title Page

  • Audit Title/ Center Name

  • Conducted on

  • Prepared by

  • Center Address
  • Center Director

All Residential and Educational Facilities

  • Instructions:

    1. Answer "Yes", "No", "N/A" for the questions below
    2. Add any photos and notes by clicking on the paperclip icon
    3. To create a corrective action, click on "Add Action", provide a description, assign to a member, set priority and due date
    4. Complete the audit by providing digital signature

Structural Integrity

  • Floors: clean, cleanable, in good repair

  • Walls and ceilings: clean, paint in good condition, cleanable 1

  • Foundation structurally sound ; no water leaks or flooding; walls and ceilings intact

  • Windows and doors not broken; open and close as designed

General Health and Safety

  • No evidence of vermin

  • Ventilation adequate, no odors or moisture

  • Cleaning supplies, mops, brooms properly stored

  • Carpets and floor coverings securely fastened

  • Windows, sills, curtains, screens, shades: clean and in good repair

  • Lighting adequate, fixtures clean

  • Water fountains clean and working properly

  • First aid kits are stocked and conveniently located

  • Material Safety Data Sheets (MSDS) are maintained and conveniently located

Fire and Electrical Safety

  • Fire extinguishers accessible, charged

  • Fire escapes, accessible, marked, unlocked; periodic fire drills conducted

  • Evacuation route maps posted; no smoking signs posted; designated smoking areas marked

  • Flammable liquids, oily rags and waste properly stored; No fire hazards

  • Alarm system functioning properly; exit signs illuminated; smoke detectors working properly

  • Emergency lighting functioning properly

  • 18” clearance maintained between sprinkler heads and stored items

  • Electrical installations adequate

  • GFCIs functioning properly

Bathrooms (Common and Individual)

  • Toilets: adequate in number, in good repair, clean, toilet paper available

  • Showers and tubs: in good repair, hot and cold water, clean, mildew free

  • Sinks: clean, in good repair, hot and cold water, soap available

  • Adequate ventilation, no odors or moisture

  • Plumbing installations and drains adequate

  • Rubbish containers: provided, adequate, clean, emptied daily

  • Inspector

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.