TAC Safety inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Secondary container labeling

• Did you find any unlabeled secondary containers?

  Yes

  No

  N/A

• Where?

  removed

  emptied

Fire extinguishers

• Were the fire extinguishers logged correctly?

  Yes

  No

  N/A

• If no, where?

  missed

  outdated

Electrical panels

• Were all of the electrical panels clear question

  Yes

  No

  N/A

• If no, where?

  minor

  major

Material safety data sheet

• MSDS samples

  high exposure

  low exposure

• Were all chemicals accounted for in the material safety data sheet book?

  Yes

  No

  N/A

• If no, which samples were missing?

  Yes

  No

  N/A

• Is the MSDS book in a black binder?

  Yes

  No

  N/A

• Is there any other black binder located at the front desk?

  Yes

  No

  N/A

Emergency procedure book

• Is the emergency procedure book up to date?

  Yes

  No

  N/A

• Is the emergency procedure book in a red binder?

  Yes

  No

  N/A

• Is there any other red binders at the front desk ?

  Yes

  No

  N/A

Emergency lighting

• Light sample locations

  high exposure

  low exposure

• Were all of the emergency lights functioning properly?

  Yes

  No

  N/A

First aid kits

• Were the first aid kits stocked correctly?

  Yes

  No

  N/A

Guest registers

• Where the guest registers filled out correctly with all the information required?

  Yes

  No

  N/A

Chemical storage

• Where chemicals stored properly in the facility?

  Yes

  No

  N/A

Storage rooms

• Where the storage rooms clean and organized?

  Yes

  No

  N/A

Equipment grounding and guarding

• Sample equipment

  high exposure

  low exposure

Comments

• Additional note or findings

  high exposure

  low exposure