Safety Checklist

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Fire Prevention / Emergency Preparedness

• Fire extinguisher(s) properly maintained, located and installed; 18" clearance

  Yes

  No

  N/A

• Evacuation routes are up-to-date and clearly posted

  Yes

  No

  N/A

• Exits are marked and exit lights working

  Yes

  No

  N/A

• Excess paper and trash removed and/or recycled

  Yes

  No

  N/A

• Sprinkler heads, if in place, are not obstructed/objects 18" or more below sprinklers

  Yes

  No

  N/A

• Last evacuation drill date:

• Sample of employees knowledgeable about evacuation plan

  Yes

  No

  N/A

• Sample of employees knowledgeable about evacuation plan

  Yes

  No

  N/A

• Employee(s) have a copy of the Emergency/Disaster Packet

  Yes

  No

  N/A

• Emergency phone numbers posted conspicuously, on the phone, or easily referenced in emergency/disaster packet

  Yes

  No

  N/A

• 18” clearance in front of all alarm stations

  Yes

  No

  N/A

Exit-- Aisles--Floors--Stairways--Halls--Ramps

• Aisles and stairwells clear of obstacles and combustibles

  Yes

  No

  N/A

• Tripping hazards removed from cubicles/good housekeeping

  Yes

  No

  N/A

• Minimum 36” cubicle opening and unobstructed interior space

  Yes

  No

  N/A

• Floor covering/stair treads are attached securely

  Yes

  No

  N/A

• Exit doors unblocked and unlocked from inside; all doors/exits open easily without any obstruction and loss of function

  Yes

  No

  N/A

• Fire doors not wedged open

  Yes

  No

  N/A

• Handrails available - condition

  Yes

  No

  N/A

• Ramps have non-slip surface in good condition

  Yes

  No

  N/A

• Stairwells, aisles, halls and common areas well lit

  Yes

  No

  N/A

Electrical

• Extension cords/power strips -- 3 pronged, max. 25 ft./circuit breaker shut off type

  Yes

  No

  N/A

• Extension cords/power strips not coupled (piggy backed)

  Yes

  No

  N/A

• Universal adapters not in use

  Yes

  No

  N/A

• Condition of power cords

  Yes

  No

  N/A

• Condition of plugs and wall outlets; wall outlet covers in unused outlets

  Yes

  No

  N/A

• Circuits not overloaded

  Yes

  No

  N/A

• No household grade appliances

  Yes

  No

  N/A

• No wires or cords under carpets or other objects

  Yes

  No

  N/A

• Electric heaters have HR approval/meet SFM requirements; unplugged when not in use

  Yes

  No

  N/A

• Personal lamps, radios, cell phone chargers, etc. good condition, not modified

  Yes

  No

  N/A

• 30” free space in front of electrical panel/circuit breaker boxes

  Yes

  No

  N/A

• Extension cords not used on coffee makers, microwaves, refrigerators, heaters and vending machines

  Yes

  No

  N/A

Book Cases -- Shelves -- Cabinets

• Shelves not overloaded

  Yes

  No

  N/A

• Heavy storage shelves / tall book cases stable

  Yes

  No

  N/A

• Exposed sharp corners removed

  Yes

  No

  N/A

• Objects placed on shelves for safety and easy access

  Yes

  No

  N/A

• Safe access to top shelves/safe step stool in use

  Yes

  No

  N/A

• File cabinet drawers latch when closed

  Yes

  No

  N/A

• Vertical fi le cabinets have button/lock mechanism

  Yes

  No

  N/A

• File drawers do not open into traffic flow and do not block exits when open

  Yes

  No

  N/A

• Spot check cabinets for overloaded drawers and balanced loading

  Yes

  No

  N/A

• File drawers not left open

  Yes

  No

  N/A

Cubicles/Office Equipment

• Employee work stations ergonomically correct

  Yes

  No

  N/A

• Chair base - 5 point design

  Yes

  No

  N/A

• Chair construction appropriate for person

  Yes

  No

  N/A

• Chair - conference room chairs sturdy with stable base

  Yes

  No

  N/A

• Fans guarded and secure from falling

  Yes

  No

  N/A

• Paper cutters have guard/safety rod and functioning blade latch

  Yes

  No

  N/A

General

• OSHA “Safety and Health Protection on the Job” posted

  Yes

  No

  N/A

• Material Safety Data Sheets available

  Yes

  No

  N/A

• First aid kits are adequately supplied

  Yes

  No

  N/A

Coin Counters, Currency Counters, & Recyclers; ATM

• Are employees trained on correct usage/safety precautions

  Yes

  No

  N/A

• All equipment in functioning order

  Yes

  No

  N/A

• Caution signs posted (i.e. don’t put hands in machine while it is running)

  Yes

  No

  N/A

• ATM room inspected; fire extinguisher present

  Yes

  No

  N/A

Security

• Access by public controlled

  Yes

  No

  N/A

• Check-in and other procedures developed for staff working out of office

  Yes

  No

  N/A

• Staff trained at a minimum on threat reporting requirements per DHS Violence Policy

  Yes

  No

  N/A

Outside Perimeter Inspection

• No presence of bees nests

  Yes

  No

  N/A

• Landscaping/shrubbery is adequately maintained

  Yes

  No

  N/A

• Handicap access/button operates properly

  Yes

  No

  N/A

• Indoor and outdoor lighting working properly

  Yes

  No

  N/A

• Pavement and parking area inspected and deemed safe

  Yes

  No

  N/A

Other Findings

• Finding 1

• Finding 2

• Finding 3

• Finding 4

• Finding 5

• Yes

  No

  N/A