Title Page

  • Building Being Inspected

  • Date

  • Safety Officer

  • Location
  • 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

  • 1 Are all fire extinguishers visible & accessible? Are they fully charged? (check for needle in the green) Is the pin in place & secure?

  • 2 Are fire extinguisher tags in place and less than one year old? (check punched date for year & month)

  • 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)

  • 4 Are smoke alarms functioning correctly? (test each alarm, push test button)

  • 5 Are all exits marked with exit signs and illuminated? (if battery operated, push test button)

  • 6 Are evacuation plans posted near doors?

  • 7 Are all doors and hallways leading to an exit, free to access with no possibility of being locked in?

  • 8 Are exit routes kept free of obstructions?

  • 9 Do exit doors open outwards? Will fire & exit doors close and latch properly?

  • 10 Has a fire / evacuation drill been conducted within the past year?

  • 11 Do portable heaters have automatic shut off if tipped over? Are portable heaters operated away from flammable materials?

  • 12 Are emergency phone numbers posted? (ex: security, fire, ambulance)

  • 13 Are emergency lights functioning correctly?

  • 14 Are First Aid kits visible & accessible? Are they stocked? Are expiration dates current?

  • 15 Are BBP spill kits stocked and accessible?

  • 16 Is there at least 18" clearance for all sprinkler heads?

  • 17 Are boxes, paper or other combustible items allowed to accumulate that would present a fire hazard?

Building and Office Safety

  • 1 Are there any slip / trip / fall hazards located inside or outside of the building?

  • 2 In areas that may be wet, greasy or slippery are floor mats or other anti-slip material used and in good condition?

  • 3 Are service holes, man holes, drains, etc. properly covered?

  • 4 Is the building well lit, inside & outside?

  • 5 Are floors in good condition with no loose or broken flooring?

  • 6 Are stairways in good condition with handrails in place? Are stair treads in good condition?

  • 7 Does the building have any pest problems?

  • 8 Are all ceiling tiles in place and in good condition throughout the building?

  • 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?

  • 10 If equipped, is the security system for the building working properly?

  • 11 Are all maintenance and mechanical areas secured? (i.e. boiler rooms, air handlers)

  • 12 Do any windows have broken panes?

  • 13 Are all elevators working correctly? Are elevators equipped with an emergency phone?

  • 14 Is the parking lot in good condition? (i.e. no potholes, parking lines visible, etc.)

  • 15 Are there any water leaks in the building? Note exact location of leaks if it can be determined.

  • 16 Are all plumbing systems working properly? (Toilet flushing problems, drainage problems, leaks from faucets, pipes, etc.)

  • 17 Are safety rules posted?

  • 18 Are hazardous materials stored properly if authorized in area?

  • 19 Are any unauthorized hazardous materials Stored?

Electrical Safety and Storage Methods

  • 1 Are all breaker boxes labeled correctly? Are empty breaker slots covered? Are the doors closed?

  • 2 Do panel boxes have any hot spots? If so, note location of hot spot & which panel box.

  • 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?

  • 4 Check extension cords: are they damaged in any way?

  • 5 Are outlets & switches covered properly?

  • 6 Are storage areas neat? Are items stacked properly? Are heavier items stored below shoulder height?

  • 7 Do top shelves have overhang?

  • 8 Are all custodial areas in good condition? Are chemicals stored in appropriate container? Is this area secure?

  • 9 Are flammable items stored in proper cabinets and/or containers?

  • 10 Are oxygen and/or acetylene tanks secured properly?

Completions

  • 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

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.