Title Page
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Building Being Inspected
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Date
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Safety Officer
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Location
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INSTRUCTIONS
1. Answer "Yes", "No" or "N/A" on the questions provided below.
2. Add Photos in "Image" and Comments in "Note" on the items required.
3. Add a Corrective Action by tapping on "Action", then provide a description, assign to a member, set priority, and due date.
4. Complete the audit by providing a digital signature.
5. Share your report by exporting as PDF, Word, Excel or Web Link.
Fire Safety and Emergency Equipment
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1 Are all fire extinguishers visible & accessible? Are they fully charged? (check for needle in the green) Is the pin in place & secure?
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2 Are fire extinguisher tags in place and less than one year old? (check punched date for year & month)
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3 Is the fire alarm system functioning properly and has it been tested within the past year? (look for green inspection tag by alarm control panel)
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4 Are smoke alarms functioning correctly? (test each alarm, push test button)
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5 Are all exits marked with exit signs and illuminated? (if battery operated, push test button)
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6 Are evacuation plans posted near doors?
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7 Are all doors and hallways leading to an exit, free to access with no possibility of being locked in?
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8 Are exit routes kept free of obstructions?
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9 Do exit doors open outwards? Will fire & exit doors close and latch properly?
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10 Has a fire / evacuation drill been conducted within the past year?
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11 Do portable heaters have automatic shut off if tipped over? Are portable heaters operated away from flammable materials?
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12 Are emergency phone numbers posted? (ex: security, fire, ambulance)
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13 Are emergency lights functioning correctly?
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14 Are First Aid kits visible & accessible? Are they stocked? Are expiration dates current?
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15 Are BBP spill kits stocked and accessible?
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16 Is there at least 18" clearance for all sprinkler heads?
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17 Are boxes, paper or other combustible items allowed to accumulate that would present a fire hazard?
Building and Office Safety
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1 Are there any slip / trip / fall hazards located inside or outside of the building?
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2 In areas that may be wet, greasy or slippery are floor mats or other anti-slip material used and in good condition?
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3 Are service holes, man holes, drains, etc. properly covered?
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4 Is the building well lit, inside & outside?
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5 Are floors in good condition with no loose or broken flooring?
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6 Are stairways in good condition with handrails in place? Are stair treads in good condition?
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7 Does the building have any pest problems?
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8 Are all ceiling tiles in place and in good condition throughout the building?
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9 Is the building secure? Are all outside doors locked at the end of each day? Are all locks and other security devices functioning properly?
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10 If equipped, is the security system for the building working properly?
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11 Are all maintenance and mechanical areas secured? (i.e. boiler rooms, air handlers)
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12 Do any windows have broken panes?
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13 Are all elevators working correctly? Are elevators equipped with an emergency phone?
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14 Is the parking lot in good condition? (i.e. no potholes, parking lines visible, etc.)
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15 Are there any water leaks in the building? Note exact location of leaks if it can be determined.
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16 Are all plumbing systems working properly? (Toilet flushing problems, drainage problems, leaks from faucets, pipes, etc.)
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17 Are safety rules posted?
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18 Are hazardous materials stored properly if authorized in area?
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19 Are any unauthorized hazardous materials Stored?
Electrical Safety and Storage Methods
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1 Are all breaker boxes labeled correctly? Are empty breaker slots covered? Are the doors closed?
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2 Do panel boxes have any hot spots? If so, note location of hot spot & which panel box.
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3 Check extension cords: are they properly grounded and adequately sized for the current being drawn? Are they placed in a manner to prevent tripping?
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4 Check extension cords: are they damaged in any way?
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5 Are outlets & switches covered properly?
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6 Are storage areas neat? Are items stacked properly? Are heavier items stored below shoulder height?
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7 Do top shelves have overhang?
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8 Are all custodial areas in good condition? Are chemicals stored in appropriate container? Is this area secure?
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9 Are flammable items stored in proper cabinets and/or containers?
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10 Are oxygen and/or acetylene tanks secured properly?
Completions
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Upon completion of the Checklist place the original in the Safety Managers mail box.
Note: Any hazards found shall be reported immediately to the Safety Manager for corrections and/or follow-up.
Maintenance Requests will be reported to PBX for distribution in Guestware. -
Safety Officer Sign Off