Title Page

  • Conducted on

  • Prepared by

  • Location

Audit Information

  • Building Name:

  • Inspected By:

  • Date

  • Time Started:

  • Time Completed

Hotel Entrance and Building Perimeter

  • Is the property address visible from the street?

  • Is there graffiti needing to be removed?

  • Does Sidewalk have trip hazards or damage?

  • Exterior Lighting working and sufficient?

  • Are all exterior doors, gates and doorbells functional and in good repair?

  • Are planter boxes thriving?

  • Are the dry stand pipes caped?

Lobby / Elevator

  • Are walls, ceilings and floors in good condition?

  • Is a current UL permit for the fire alarm system hanging next to the annunciator panel?

  • Is there adequate lighting?

  • Is a fire extinguisher present, charged and up to date? Are tags initialed?

  • Are furnishings in good condition? Items taller than 5' secured to the wall?

  • Is the entrance door operational and in good repair?

  • Do outlets and switches have cover plates?

  • Is the common area bathroom available and clean?

  • Is the elevator permit current and posted in the car?

  • Are "Watch your step" signs posted inside and outside the elevator doors?

  • Are elevator car doors and gates in good working order?

Desk Clerk Area

  • Is a first aid kit available?

  • Is the red emergency radio on, charginf and on the correct channel? Channel "1" North of Market, Channel "2" South of Market?

  • Is a red disaster binder stored at the front desk?

  • Are walls, ceilings, floors and desktop in good condition?

  • Are furnishings in good condition? Items taller than 5' secured to the wall?

  • Are there trip hazards?

  • Are laminated shut off instructions with keys attached present?

  • Is there a working flashlight at the front desk?

  • Do outlets and switches have cover plates?

  • Is there adequate lighting?

  • Are chemicals labeled and stored properly with an SDS binder?

Community Room

  • Are furnishings in good condition? Items taller than 5' secured to the wall?

  • TV operational and safely mounted?

  • Do outlets and switches have cover plates?

  • Is there adequate lighting?

  • Are walls, ceilings, floors and tables in good condition?

Community Kitchen

  • Are walls, ceilings, floors and countertops in good condition?

  • Is stove/cooktop and range hood free of grease?

  • Are smoke or heat detectors present?

  • Do outlets and switches have cover plates?

  • Are electrical outlets within 3' of a sink or other water source a GFI type with reset button?

  • Is there adequate lighting?

  • Does range hood have magnetic fire suppressors?

Laundry Room

  • Are the dryer lint traps clean? Duct work intact?

  • Are walls, ceilings, floors and countertops in good condition?

  • Do outlets and switches have cover plates?

  • Is ther adequate lighting?

  • Are smoke/heat detectors present?

SHM / Case Manager Office

  • Are walls, ceilings, floors and door in good condition?

  • Are items taller than 5' secured to the wall?

  • Is there adequate lighting?

  • Do outlets and switches have cover plates?

  • Smoke detector present?

Hallways and Stairs

  • Are walls, ceilings, floors and doors in good condition?

  • Are stairs, hand railings and banisters in good condition?

  • Are there adequate trash bins on every floor?

  • Are safety monitor doors identified?

  • Are evacuation routes established and posted?

  • Is there adequate lighting maintained on all stairways?

  • Is there adequate lighting maintained on all hallways?

  • Do all stairways and ramps have non-slip surfaces?

  • Carpeted Stairs: Is carpeting in good condition with no trip hazards?

  • Are top and bottom stair treads marked on each floor?

  • Are fire extinguishers present and up to date? Are tags initialed?

  • Are exit signs operating?

  • PASS signs posted above each extinguisher?

  • Do outlets and switches have cover plates?

  • Are EXITS and Non-Exits clearly labeled?

Community Bathrooms and Showers

  • Are bathroom unisex signs present and in good condition?

  • Do toilets flush properly?

  • Are paper dispensers full and operational?

  • Do showers and bathrooms have non-slip tape to prevent falls?

  • Are showers clean, sealed, grouted, caulked and draining properly? Any broken tiles?

  • Is there any evidence of discoloration?

  • Are floor and wall surfaces in good condition?

  • Is exhaust fan operational? If there is no fan, is there a window that opens?

  • Is there adequate lighting?

  • Are grab bars installed in showers and next to toilets?

Waste Room / Needle Disposal

  • Is waste room properly labeled?

  • Does the waste room have sheet metal walls and ceilings or an approved alternative?

  • Does the waste room have sprinklers?

  • Recology Signs (Waste room / recycling / compost)

  • Needle boxes on every floor? Empty and securely fixed to the wall?

  • Is there adequate lighting?

Janitors Closet

  • Is closet clearly labeled "Janitor's Closet"?

  • Are work areas neat and well maintained?

  • Are heavy objects stored near the floor? Storage racks in good condition?

  • Are walls and ceilings in good condition?

  • Are hazardous materials properly labeled and stored below eye level?

  • Are Safety Data Sheets (SDS) available?

  • Do all employees exposed to heavy lifting have back braces?

  • Is there adequate Lighting?

  • Is an eyewash station up to date and readily available?

Maintenance Shop

  • Is closet clearly labeled "Maintenance Closet"?

  • Are work areas and supplies neat and well maintained?

  • Are storage racks in good condition? Heavy objects near floor level?

  • Are walls and ceilings in good condition?

  • Are hazardous materials properly labeled and stored below eye level?

  • Are Safety Data Sheets (SDS) available?

  • Is an eye wash station available and up to date?

  • Are flammables stored in yellow fire cabinet?

  • Are there any broken steps or rungs on ladders?

  • Do all employees exposed to lifting have back braces?

  • Is there adequate lighting?

  • Are safety guards in place on bench grinders and table saws?

Vacant Unit Assessment

  • Do showers and bathrooms have non-slip tape to prevent falls from slippery floors?

  • Are all showers and bathrooms in good working order?

  • Are GFI's in place at applicable outlets (within 3 feet of a water source)? Have they been tested?

  • Are Smoke detectors present and in good working order?

  • Are bathrooms properly caulked and have proper drainage?

  • Are floors, walls and ceilings clean and in good condition?

  • Is there adequate lighting?

  • Are there current leaks or signs of leaks in the unit?

Emergency Preparedness

  • Do you have the correct number of emergency preparedness buckets?

  • Is the storage area locked?

  • Do you have a case of Bio-Bags stored in emergency supplies?

  • Do you have a bag of helmets, vests and gloves stored with the emergency supplies?

  • Do you have a Search and Rescue Kit stored with the emergency supplies?

  • Do you have cribbing material painted in red?

  • Does supervisor have a working flashlight?

Basement / Boiler Room / Sprinkler System

  • Are smoke detectors and sprinklers present?

  • Are water and gas shut offs labeled?

  • Are there spare sprinkler heads near the sprinkler shut off?

  • Key to fire sprinkler lock stored in spare sprinkler head box?

  • 5 year certification sticker on pipe near sprinkler shut-off? Is it still current?

  • Is a current backflow testing sticker present?

  • Are boiler permits present and up to date?

  • Is there adequate lighting?

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.