School Inspection

• Document No.

• School Name

• Type of Inspection

  Annual School Inspection

  Compliance School Inspection

  Complaint School Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

• School Personnel

Previous Inspections

• Has previous inspection been reviewed?

  Yes

  No

  N/A

Fire and Food Safety Reports

• Date of last Fire Safety Inspection

• Date of last Food Safety Inspection

General Sanitation

• Is the facility free of general sanitation issues?

  Yes

  No

  N/A

Lighting

• Is the lighting adequate for the activity occurring in the space?

  Yes

  No

  N/A

• Are classrooms and work areas free of glare or shadows?

  Yes

  No

  N/A

Temperature and Ventilation

• Is the ambient temperature acceptable in classrooms and work rooms?

  Yes

  No

  N/A

• Temperature Readings

• Is there adequate ventilation in classrooms and work rooms?

  Yes

  No

  N/A

Chemical Safety

• Are potentially hazardous chemicals accessible only to authorized personnel?

  Yes

  No

  N/A

• Are MSDS sheets available for chemicals used in the facility?

  Yes

  No

  N/A

Pest Control

• Is the building free of signs of insect & rodent infestation?

  Yes

  No

  N/A

• Are exterior doors solid with sweeps to prevent pest entry?

  Yes

  No

  N/A

• Are exterior trash areas kept clean and free of potential pest harborage conditions?

  Yes

  No

  N/A

Building and Grounds

• Is the building/grounds free of litter buildup

  Yes

  No

  N/A

• Is the building/grounds free of standing water?

  Yes

  No

  N/A

• Is the building free of cracks in walls/doors?

  Yes

  No

  N/A

• Is the building free of other structural issues?

  Yes

  No

  N/A

• Is the playground equipment in good condition?

  Yes

  No

  N/A

• Is the playground free of environmental hazards?

  Yes

  No

  N/A

Custodial Staff

• Is staff trained upon hire?

  Yes

  No

  N/A

• Is there ongoing training?

  Yes

  No

  N/A

• Does staff have access to new information?

  Yes

  No

  N/A

Water and Sewage

• Is the facility on public water?

  Yes

  No

  N/A

• Is the facility on public sewer or a state permitted on site system?

  Yes

  No

  N/A

• Does the facility have working toilets?

  Yes

  No

  N/A

• Does the facility have hot water less than 120 degrees F and cold running water?

  Yes

  No

  N/A

• Water Temperatures

• Are the hand sinks provided with soap?

  Yes

  No

  N/A

• Do the hand sinks have provisions for hand drying?

  Yes

  No

  N/A

• Additional Comments

• KSA 65-202 requires inspection of of "each school building and grounds" annually by the local health officer or designated alternate "for protection of the public health of students of the school."

• Received by

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• Inspector

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