Information
-
Document No.
-
Inspection Date:
-
Inspection conducted by:
-
Office Location:
Houskeeping
-
1. Floor surfaces are clean, dry, level and in good condition.
-
2. Carpets are secured to the floor, free of worn or frayed seams.
-
3. Floor mats are slip resistant; do not present trip hazard?
-
4. Differences in floor levels are clearly marked.
-
5. Stairways and steps are in good condition, covered with skid-resistant materials where appropriate, and free of debris or other materials.
-
6. Traffic areas are clear and unobstructed by boxes, cartons, or other materials.
-
7. Office lighting is adequate. Burned out bulbs are replaced.
-
8. Glass doors are marked to keep people from walking through them.
-
9. Trash and/or recycle containers are available and emptied regularly.
-
10. No noticeable dust or odors in the office
-
11. Other housekeeping.
-
Housekeeping Notes:
Material Storage
-
1. Items stored in appropriate locations.
-
2. Items stored in such a manner that they will not fall, slide or roll
-
3. Boxes or other items are not stacked too high. Minimum 18 inches from the ceiling.
-
4. Heavy materials are not stored on top of cabinets.
-
5. Stacked materials do not block sprinkler systems or ventilation grating.
-
6. Boxes, trash or other items are not blocking hallways, walkways, doors or creating a fire hazard.
-
7. Other material storage.
-
Material Storage Notes:
Office Furniture
-
1. Office furnishings are arranged in such a manner that they do not obstruct walkways, exit passageways and other traffic areas.
-
2. File cabinet drawers do not open into walkways or high traffic areas.
-
3. File cabinets are secured in a manner that they will not tip.
-
4. Desk drawers and file cabinet drawers have safety stops.
-
5. Shelving is secured or heavier items are located on lower levels to prevent them from tipping over
-
6. Chairs are in good condition with no loose casters or other parts.
-
7. Other furniture.
-
Office Furniture Notes:
Electrical Safety
-
1. Extension cords do not present any tripping hazards.
-
2. Extension cords are not frayed or worn.
-
2. Extension cords are only used in situations where fixed wiring is not feasible.
-
3. Extension cords are not under rugs, mats or duct tape.
-
4. Extension cords do not run through ceilings, wall openings or doorways.
-
5. Power strips have built-in over current and voltage surge protection.
-
6. Power strips are plugged directly into outlets.
-
7. All electrical outlets and light switches have covers and are secured.
-
8. Electrical appliances and equipment are well maintained with no frayed cords.
-
9. Electrical circuits are not overloaded.
-
10. Access to the electrical panel is not obstructed.
-
11. Other electrical:
-
Electrical Safety Notes:
Emergency and Evacuation
-
1. Evacuation Plan is available and posted near each exit location.
-
2. Employees are familiar with the evacuation plan, meeting locations and reporting responsabilities.
-
3. Emergency/evacuation drill is conducted annually.
-
4. Emergency evacuation route maps are posted throughout office and highly visible.
-
5. Exits lights and/or other emergency lights are working
-
6. Weather radio is working.
-
7. Other emergency and evacuation.
-
Emergency and Evacuation Notes:
Fire Prevention
-
1. Emergency alarm systems have been established and tested.
-
2. Electrical mechanical utility rooms are not being used as storage rooms.
-
3. Directions to exit(s) are clearly marked?
-
3. Flammable chemicals are in fire proof cabinets
-
5. Ignitable materials are kept away from heat-producing appliances
-
6. Fire doors are not stopped in an open position.
-
7. Fire extinguishers are serviced yearly.
-
8. Fire extinguishers are inspected on a monthly basis and documented
-
9. Other fire prevention.
-
Fire Prevention Notes:
First Aid, CPR, AED, BBP and Eye Wash Station
-
1. First Aid, CPR, AED and Bloodborne Pathogen kits are readily available and clearly marked?
-
2. First Aid, CPR, AED and Bloodborne Pathogen kits are fully stocked and not expired.
-
3. First Aid, CPR & AED kits are inspected on a monthly basis and documented
-
4. First Aid, CPR, AED and Bloodborne Pathogens training for employees is current and documented.
-
5. BBP kits are inspected on a yearly basis and documented.
-
6. Emergency Eye Wash station is readily available and not expired.
-
7. Emergency Eye Wash station is inspected on a monthly basis and documented.
-
8. Emergency Eye /wash Station is located with 55ft. (or 10 seconds) of the work area
-
9. Other.
-
First Aid, CPR, AED, BBP & Eye Wash Station Notes:
Ladders
-
1. Ladders are available to reach overhead storage areas and for replacement of light bulbs?
-
2. Ladders are inspected on a quarterly basis and documented.
-
3. Ladders are inspected for cracks, bent braces & broken foot rungs each time before use
-
4. Other ladders.
-
Ladder Notes:
Safety Data Sheets / Hazardous Chemicals
-
1. The “Hazardous Chemical Inventory List” is current
-
2. There is a MSDS for each product listed on the “Hazardous Products Inventory List”.
-
3. There is a MSDS for each product in the office even though it is not a "hazardous product"
-
4. Products not in the original manufactures containers are properly labeled.
-
5. Other SDS.
-
SDS / Hazardous Chemicals Notes:
Security
-
1. Security system is working properly.
-
2. All exit doors are secured during regular business hours
-
3. Company vehicles are signed out and back in at the end of each work day.
-
4. Other Security:
-
Security Notes:
Comments, Observations and Recommendations
-
undefined
-
Observer 1 Signature
-
Observer 2 Signature
