RSA Towers H&S Walkthrough

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Have all identified issues been corrected/resolved and noted on previous inspection summary?

  Yes

  No

  N/A

• If identified issues have not been corrected/resolved, what actions are being taken?

Emergency Equipment & Preparedness

• Is all emergency equipment in good condition, accessible, and not blocked? (Alarm boxes, etc.)

  Yes

  No

  N/A

• All exit signs free of damage and properly illuminated?

  Yes

  No

  N/A

• Are all walkways, exit doors and aisle ways free of obstructions?

  Yes

  No

  N/A

• Are stairwells and corridors free of storage and clutter?

  Yes

  No

  N/A

• Are Emergency plans displayed on each floor?

  Yes

  No

  N/A

• Is there anything else relating to emergency equipment or preparedness that needs attention at this time?

  Yes

  No

  N/A

• Please describe any additional issue(s) found related to emergency equipment or preparedness

Fire Extinguishers

• Are all extinguishers clearly identified with a wall mounted sign?

  Yes

  No

  N/A

• Are all extinguishers easily accessible and free of obstructions?

  Yes

  No

  N/A

• Are inspection tags current with initial and date of inspection? And are all seals/tamper pins in place?

  Yes

  No

  N/A

• Are all extinguishers free of damage, corrosion, leakage or clogged nozzles?

  Yes

  No

  N/A

• Is there anything else relating to the fire extinguishers that needs attention at this time?

  Yes

  No

  N/A

• Please describe any additional issue(s) found related to Fire Extinguishers

Fire Protection System

• Is clearance of at least 18 inches maintained around fire sprinkler heads?

  Yes

  No

  N/A

• Is there anything else relating to the fire protection system that needs attention at this time?

  Yes

  No

  N/A

• Please describe any additional issue(s) found related to the Fire Protection System

First Aid

• Are first aid kits clean, orderly, and adequately stocked?

  Yes

  No

  N/A

• Is there anything else relating to the first aid kits and/or AEDs that needs attention at this time?

  Yes

  No

  N/A

• Please describe any additional issue(s) found related to the First Aid & AEDs

Electrical

• Is there at least three (3) feet clearance in front of electrical panels/breaker boxes?

  Yes

  No

  N/A

• Electrical warning signs clearly marked and visible?

  Yes

  No

  N/A

• Are all kitchen appliances and high voltage equipment plugged directly into a wall socket and not a surge protector? (microwaves, toasters, refrigerators, etc.)

  Yes

  No

  N/A

• Is a cable management system being used for all cords? (No daisy chain of cables/cords)

  Yes

  No

  N/A

• Are all cords/plugs free from damage or deterioration?

  Yes

  No

  N/A

• Are all light switch and outlet plates free of damage and wire exposure?

  Yes

  No

  N/A

• Do any Electrical cords run under carpet, doors, or in walls, ceilings?

  Yes

  No

  N/A

• Is there anything else relating to electrical that needs attention at this time?

  Yes

  No

  N/A

• Please describe any additional issue(s) found related to electrical

  Yes

  No

  N/A

Storage Areas

• Is the material stored on racks safe, secure, and orderly?

  Yes

  No

  N/A

• Is the shelving stable and in good condition with no damage or structural repairs needed?

  Yes

  No

  N/A

• Is racking clear of debris and completely accessible?

  Yes

  No

  N/A

• Step stools are available to reach higher shelves?

  Yes

  No

  N/A

• Is there anything else relating to the storage area that needs attention at this time?

  Yes

  No

  N/A

• Please describe any additional issue(s) found related to storage areas

Kitchen/Break Areas

• Appliances in use are in good working order?

  Yes

  No

  N/A

• Are "wet floor signs" or equivalent available and used when mopping floors?

  Yes

  No

  N/A

• Is all electrical equipment in good condition (no exposed wiring/frayed cords)?

  Yes

  No

  N/A

• Is there anything else relating to the kitchen/break area that needs attention at this time?

  Yes

  No

  N/A

• Please describe any additional issue(s) found related to Kitchen/Break Rooms

General Areas

• Are cubicle walls secured?

  Yes

  No

  N/A

• Is flooring in good condition with loose rugs and mats secured?

  Yes

  No

  N/A

• Furniture is safe (no sharp edges, no broken or exposed parts)?

  Yes

  No

  N/A

• Are all ceiling tiles in place and in good condition?

  Yes

  No

  N/A

• Is there anything else relating to the general areas that needs attention at this time?

  Yes

  No

  N/A

• Please describe any additional issue(s) found related to the general areas

  Yes

  No

  N/A

Other Areas

• Is there anything else in other areas that needs attention at this time?

  Yes

  No

  N/A

• Please describe any additional issue(s) found not related to previous sections