Title Page
-
Site conducted
-
Conducted on
-
Prepared by
-
Location
LIFE SAFETY
Fire Extinguishers
-
SAGE RECOVERY & WELLNESS CENTER WESTLAKE MONTHLY EXIT SIGN INSPECTION
NOTE: All fire extinguishers for this facility shall be inspected monthly. All fire extinguishers for this facility are numbered and identified below. The person inspecting the fire extinguishers shall do a visual check. The visual inspection shall include ensuring the fire extinguisher is clear and unobstructed, is the correct type, within expiration, the safety pin is in place, the pressure gauge is in the green, and the hose is not damaged or deteriorated. The visual inspection also includes ensuring each fire extinguisher is clean and free of any dirt, dust, debris, grease, etc., and has not been tampered with. The inspector will then pass or fail each fire extinguisher and document below. -
Employee kitchen
-
West hall exit to outdoors
Exit Signs
-
SAGE RECOVERY & WELLNESS CENTER WESTLAKE MONTHLY EXIT SIGN INSPECTION
NOTE: All exit signs for this facility shall be inspected monthly. All exit signs for this facility are numbered and identified below. The person evaluating exit signs shall do a visual inspection, as well as a 90-second test. The visual inspection will include ensuring that the exit signs are mounted correctly, bulbs are intact and there is no dust buildup inside the light or sign. The 90-second test will include pushing the exit sign button to illuminate the sign for 90 seconds to ensure it is working properly. The inspector will then pass or fail, each individual exit sign and document below.
Note: All emergency lights for this facility shall be inspected monthly. All emergency lights are numbered and identified below. The person inspecting the emergency lights shall do a visual inspection, as well as a 90-second test. The visual inspection will include ensuring that the emergency lights are mounted correctly, clean, and free of dust build-up. The 90-second test will include pushing the “push to test” button on each light for 90 seconds to ensure the battery and lights are fully functional. If the lights are dim or bulbs are burnt out, they are to be replaced. The inspector will then pass or fail each emergency light and document below. -
West employee office exit
-
West hall exit
-
West hall exit to lobby
-
West lobby exit
-
East employee office exit
-
East hall exit to outdoor
-
East hall exit
-
East hall exit to lobby
-
East hall exit to outdoor
Spill kits
-
SAGE RECOVERY & WELLNESS CENTER WESTLAKE MONTHLY SPILL KIT INSPECTION
SPILL KITS are clearly labeled and placed strategically throughout the facility, all contents are present (absorbents, containment products, safety products), and all supplies are in good condition and unopened. -
Client lounge
Refigerator
-
Refrigerator/freezer functioning appropriately
-
Refrigerator emperature logs present and completed daily
-
Freezer temperature logs present and completed daily