Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Emergency Lighting

  • 1. Exit pack over entrance door working and signed off?

  • 2. Exit pack in reading area working and signed off?

  • 3. Exit pack over rear exit working and signed off?

  • Add signature

HVAC

Fuel

  • Inspect Propane level on Tank Gauge is it within adequate levels.

Furnace room

Compact Furnace

  • Listen for any abnormalities in operation - does the unit sound consistent in normal operation?

  • Inspect the air filters, is the air filter clean? (replacement is 16x25x1)

  • While running take a heat temperature with the infared from the heating vents - is it blowing within normal specs?

  • Is the inside cabinet of the unit free of debris and or water?

  • Check all fittings to ensure that they are secure, is the unit in good working order

Fire Extinguishers

  • 1. Extinguisher behind desk is charged and signed off?

  • Add signature

First Aid

First Aid box in Maintenance Room

  • Is Regulations 1101 present

  • Current edition of a standard St John's First Aid Manual

  • 12 adhesive dressings individually wrapped

  • 4 sterile gauze pads 3" square

  • 2 rolls of gauze bandages 2" wide

  • 2 field dressings, 4 inches square or 2 four-inch sterile bandage compresses

  • 1 Triangular Badage

General room by room Assessments

Building exterior/parking lot

  • Are all outside areas safe and accessible?

  • Are walkways clear of snow or obstruction?

  • Are all lights working?

  • Are the entrance ways clean and free of debris (cigarette butts)?

Library General Space

  • Are floors clean and free of debris or slip/trip hazards?

  • Are walls clean and smudge free?

  • is there adequate lighting in walking and work areas, record any burnt out bulbs.

  • Are garbage receptacles adequate and clean?

  • Are the air return/heat vents clean and dust free?

  • Are Ceiling tiles stain free and in there proper place?

  • Are the carpets clean and stain free? Have they been vaccumed?

  • If everything passes click Yes/if work required click no and report on additional issues

Library Washroom

  • Are Sinks, mirrors and toilets clean and in working order?

  • Are the hand dryer/paper towel dispensers clean and in good working order?

  • Are the hand soap pumps clean, full and in good working order?

  • Are Ceiling tiles stain free and in there proper place?

Library Storage Room

  • Is there adequate storage and shelving? Is the shelving in good condition and safe?

  • Are the walls clean and free of mould and smudges?

  • Add signature

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.