Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Fire extinguishers: serviced, tagged, accessible<br>
Fire Hazards
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Exits: marked, accessible, clear of obstructions
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Exit signs: illuminated
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Evacuation routes posted
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Solvents, flammables: appropriate cabinet, storage neat, properly labeled<br><br>
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Compressed gas cylinders: secured<br>
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Alarms: clear of obstructions<br>
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Exits/corridors: minimum 3 foot clearance<br>
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Electrical cords/plugs/outlets: in good condition<br>
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Wall outlet and junction box: covers in place<br>
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Escutcheon caps in place<br>
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No wires or extension cords under carpets/rugs, through doorways, or placd in other traffic areas
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No space heaters/no microwaves in offices
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No halogen lighting<br>
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Sprinklers - head in proper position, undamaged, free of obstructions<br><br>
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Other
Floors and Housekeeping
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Surface:nails, splinters, breaks
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Openings (permanent & temporary): guarding
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Wet, slippery
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Aisles/walkways: free of trip and fall hazards
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Storage hazards
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Free of foreign objects, no tripping hazards
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Carpeting: secure, non-buckled, non-frayed
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No inherently slippery areas
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Floor elevation differences & step-ups discernable
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Electrical floor outlets covered when not in use
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Cleaning materials- safely stored
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Storage: nothing within 18 inches of ceiling or within 18 inches of sprinkler heads
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Ceiling tiles: clean, no signs of roof leaks
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Other
Stairways
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Lighting adequate
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Emergency lighting
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Treads/Surface: firm, level, not excessively worn or slippery, clean
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Handrails: adequate and secure
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Free of storage
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Other
Ramps
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Surfaces: unobstructed, non-slip
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Handrails: adequate and secure
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Other
Entrances
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Outside approachway: unbroken, non-slip, even surface
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Weather protection (rain mats, etc)
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Entrance way: well illuminated
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Doors: freely outswinging
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Unobstructed, clear travelway
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Proper lighting
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Other
Office Equipment
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Electrical cords: grounded and are not a trip hazard
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Outlets not overloaded
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Surge protector/extension cord: proper use no daisy chaining
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Extension cords, phone cords & cables: properly routed or covered to avoid trip/fall hazards
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No sharp edges, points or splinters on furniture
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File/storage cabinets, bookshelves and other items over 5 feet in height: properly anchored/secured
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Other
Signs
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Signs/awnings: good condition, secured
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Other
Elevators
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Car levels with 1/2" of landing
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Car lighting adequate
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Alarm bell functions
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Emergency telephone provided & functional
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Inspection certificate posted and up-to-date
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Car interior free of wall openings and tripping
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Elevator area free of obstructions
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Other
Electrical/Mechanical rooms
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Doorway: unobstructed and clean
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Room or area not used for storage
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Lighting adequate
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Other
Exterior
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Sidewalk/walkways- unbroken, non-slip, even
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Doors- freely outswinging
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Building exterior free of debris
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Walks/driveways:unobstructed
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Parking lot: bumper blocks painted & secured, walkways in good condition, adequately lighted, paved surface unbroken
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Other
General Conditions
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First Aid Kit: present and filled
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Proper light throughout workplace
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Other
Other
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Comment
