Weekly EHS COVID Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

• Add signature

  Sign

Point of Entry Screening

• Non-contact thermometer in use?

  Safe

  At Risk

  N/A

• Social distancing signage visible?

  Safe

  At Risk

  N/A

Office Area

• Facial covering signage visible?

  Safe

  At Risk

  N/A

• Social distancing signage visible?

  Safe

  At Risk

  N/A

• No sharing of materials or equipment observed?

  Safe

  At Risk

  N/A

• Cleaning kits available and stocked?

  Safe

  At Risk

  N/A

Hallways

• Facial covering signage visible?

  Safe

  At Risk

  N/A

• Social distancing signage visible?

  Safe

  At Risk

  N/A

• Hand sanitizer available?

  Safe

  At Risk

  N/A

• Timeclock – hand washing and no congregating signage?

  Safe

  At Risk

  N/A

• Drinking fountains turned off?

  Safe

  At Risk

  N/A

Restrooms

• Facial covering signage visible?

  Safe

  At Risk

  N/A

• Social distancing signage visible?

  Safe

  At Risk

  N/A

• Hand sanitizer available?

  Safe

  At Risk

  N/A

• Hand washing reminder signage?

  Safe

  At Risk

  N/A

• Every other urinal and sink closed for social distancing ?

  Safe

  At Risk

  N/A

• Hand dryers disabled?

  Safe

  At Risk

  N/A

Locker Rooms

• Facial covering signage visible?

  Safe

  At Risk

  N/A

• Social distancing signage visible?

  Safe

  At Risk

  N/A

• Hand sanitizer available?

  Safe

  At Risk

  N/A

• Hand washing reminder signage?

  Safe

  At Risk

  N/A

• Every other urinal and sink closed for social distancing?

  Safe

  At Risk

  N/A

• Hand dryers disabled?

  Safe

  At Risk

  N/A

Conference Rooms

• Facial covering signage visible?

  Safe

  At Risk

  N/A

• Social distancing signage visible?

  Safe

  At Risk

  N/A

• Hand sanitizer available?

  Safe

  At Risk

  N/A

• Cleaning kit available and stocked?

  Safe

  At Risk

  N/A

• Occupancy guidelines are posted (max 10 people)?

  Safe

  At Risk

  N/A

Cafeteria

• Facial covering signage visible?

  Safe

  At Risk

  N/A

• Social distancing signage visible?

  Safe

  At Risk

  N/A

• Hand sanitizer available?

  Safe

  At Risk

  N/A

• Cleaning kit available and stocked?

  Safe

  At Risk

  N/A

• No buffet or fountain drink service available?

  Safe

  At Risk

  N/A

Breakroom

• Facial covering signage visible?

  Safe

  At Risk

  N/A

• Social distancing signage visible?

  Safe

  At Risk

  N/A

• Hand sanitizer available?

  Safe

  At Risk

  N/A

• Cleaning kit available and stocked?

  Safe

  At Risk

  N/A

• Social distancing barriers in place?

  Safe

  At Risk

  N/A

Laboratory

• Facial covering signage visible?

  Safe

  At Risk

  N/A

• Social distancing signage visible?

  Safe

  At Risk

  N/A

• Hand sanitizer available?

  Safe

  At Risk

  N/A

• Cleaning kit available and stocked?

  Safe

  At Risk

  N/A

• If sharing of lab bench desks, keyboards or phones, these must be cleaned and disinfected prior to and after use?

  Safe

  At Risk

  N/A

• If sharing of glassware, instrumentation or PPE, these must be cleaned and disinfected prior to and after use?

  Safe

  At Risk

  N/A

• One person per lab bench at a time?

  Safe

  At Risk

  N/A

• Social distancing barriers in place?

  Safe

  At Risk

  N/A

Manufacturing and Clean Room

• Facial covering signage visible?

  Safe

  At Risk

  N/A

• Social distancing signage visible?

  Safe

  At Risk

  N/A

• Hand sanitizer available?

  Safe

  At Risk

  N/A

• Cleaning kit available and stocked?

  Safe

  At Risk

  N/A

• No sharing of fixtures, keyboards, phones or PPE observed?

  Safe

  At Risk

  N/A

• One person per workstation at a time?

  Safe

  At Risk

  N/A

• Social distancing barriers in place?

  Safe

  At Risk

  N/A

Common Area

• Facial covering signage visible?

  Safe

  At Risk

  N/A

• Social distancing signage visible?

  Safe

  At Risk

  N/A

• Hand sanitizer available?

  Safe

  At Risk

  N/A

Lobby

• Facial covering signage visible?

  Safe

  At Risk

  N/A

• Social distancing signage visible?

  Safe

  At Risk

  N/A

• Hand sanitizer available?

  Safe

  At Risk

  N/A

• Cleaning kit available and stocked?

  Safe

  At Risk

  N/A

• High contact areas such as desks or door handles frequently disinfected?

  Safe

  At Risk

  N/A

Elevator

• Facial covering signage visible?

  Safe

  At Risk

  N/A

• Social distancing signage visible?

  Safe

  At Risk

  N/A

• Occupancy guidelines are posted (max 2 people)?

  Safe

  At Risk

  N/A