Sodexo Monthly Safety Inspection Form - Environmental Services

• Building/Area

• Date

  Date

• Inspected by

• Location
  Address

CHEMICALS / STORAGE AREAS

• Inventory of hazardous chemicals is current (within one year)

  Yes

  No

  N/A

• All containers are properly labeled with product identified and a hazard warning.

  Yes

  No

  N/A

• SDSs are readily available for each hazardous material on inventory.

  Yes

  No

  N/A

• Chemicals stored properly: Insecticides, Detergents/Sanitizers and Caustics/Acids/Polishes

  Yes

  No

  N/A

• Eyewash station available for continuous 15-minute flow.

  Yes

  No

  N/A

• Aisles clear and floors clean.

  Yes

  No

  N/A

• Compressed gas cylinders stored in upright position with protective caps in place.

  Yes

  No

  N/A

• Step ladder of sufficient height to reach top of storage without standing on top 2 steps.

  Yes

  No

  N/A

• Sharp edges are identified and eliminated

  Yes

  No

  N/A

• Bump hazards are eliminated.

  Yes

  No

  N/A

• Falling hazards are eliminated.

  Yes

  No

  N/A

• Proper personal protective equipment used when handling chemicals (see SDS)

  Yes

  No

  N/A

• Chemical hazard communication training received by all employees and documentation in personnel files (current within one year)

  Yes

  No

  N/A

ELECTRICAL / CUSTODIAL

• All electrical cords are in good condition.

  Yes

  No

  N/A

• Extension cords are not used in lieu of permanently installed fixed wiring.

  Yes

  No

  N/A

• Cover plates, switches, outlets, etc are in good condition.

  Yes

  No

  N/A

• Electrical panel boxes closed and accessibility is not blocked.

  Yes

  No

  N/A

• Equipment is grounded or double insulated.

  Yes

  No

  N/A

• Lockout/tagout procedures in place and staff is trained.

  Yes

  No

  N/A

• Ground plugs on equipment in good condition.

  Yes

  No

  N/A

• Motors are clean and properly lubricated.

  Yes

  No

  N/A

• Emergency shut-down switches insulated and easily accessible

  Yes

  No

  N/A

• Emergency generators are tested weekly.

  Yes

  No

  N/A

• Switches and circuit breakers are marked to indicate equipment/areas controlled.

  Yes

  No

  N/A

• Work sites are clean and orderly.

  Yes

  No

  N/A

• All areas free of excessive trash/storage.

  Yes

  No

  N/A

• Control Panels have a minimum 36” of unobstructed work space in front and are closed

  Yes

  No

  N/A

EXITS / MECHANICAL SHOP AREA / FIRE PROTECTION

• Exit routes unobstructed.

  Yes

  No

  N/A

• Exits clearly marked with illuminated signs.

  Yes

  No

  N/A

• Emergency lighting provided for all occupied areas and tested monthly.

  Yes

  No

  N/A

• Emergency evacuation plans posted.

  Yes

  No

  N/A

• All doors in exit path kept closed.

  Yes

  No

  N/A

• Lighting is adequate.

  Yes

  No

  N/A

• Handrails provided on all stairs.

  Yes

  No

  N/A

• Adequate number of exits provided.

  Yes

  No

  N/A

• Exit doors are operable in the path of exit travel without the use of a key or any special knowledge

  Yes

  No

  N/A

• All power tools are equipped with guards.

  Yes

  No

  N/A

• All ladders are in good condition.

  Yes

  No

  N/A

• Eye, face and hand personal protection equipment is available and in good condition.

  Yes

  No

  N/A

• Fire extinguishers are properly mounted, accessible and maintained.

  Yes

  No

  N/A

• All fire alarms are unobstructed.

  Yes

  No

  N/A

• Fire doors are proper operational condition and unobstructed.

  Yes

  No

  N/A

• Do employees know how to report a fire?

  Yes

  No

  N/A

• Flammable liquids are stored in FM approved or UL listed safety containers.

  Yes

  No

  N/A

CUSTODIAL / OTHER

• All floors are clear of debris and dry.

  Yes

  No

  N/A

• Shelves and racks are of adequate strength and are secured.

  Yes

  No

  N/A

• Walk off mats used where needed.

  Yes

  No

  N/A

• All mats are in good condition.

  Yes

  No

  N/A

• Receiving area free of bump/slip/trip hazards.

  Yes

  No

  N/A

• Custodial closets neat and clean.

  Yes

  No

  N/A

• Custodial carts properly stocked and clean

  Yes

  No

  N/A

• Custodial chemicals, spray bottles labeled.

  Yes

  No

  N/A

• Wet floor signs used properly.

  Yes

  No

  N/A

• Employees frequently receive training on correct lifting techniques.

  Yes

  No

  N/A

COMPLETION

• Inspector Sign Off

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