Kitchen

Sanitation

Is area properly stocked, I.e. paper towels, soap, sanitizer?

Are windows, window sills, doors, etc. clean/dust free?

Are vents free of dust/grime? Are surrounding areas dust free?

Has trash been taken out? Are trash cans clean inside/out?

Are the floors clean?

Have appliances been wiped down?

Are work areas clean, decontaminated?

Safety/Fire Safety

Is safety equipment easily accessible? Fire extinguishers, pull stations, PPE, first aid kit, etc.

Are wet floor signs and other safety measures being utilized? (Mats, spills immediately cleaned, etc.)

Is the 18" rule being followed?

Are means of egress clear to exit?

Is the area clear of slips, trips, and fall hazards?

Maintenance

Are there any obvious maintenance issues?

Who will be submitting the maintenance request form?

Security

Are containers (cleaning supplies) properly labeled and secured?

Have unnecessary security threats been removed from the area?

Hit the "Next" button.

Transportation

Sanitation

Is area properly stocked, I.e. paper towels, soap, sanitizer?

Are vents free of dust/grime? Are surrounding areas dust free?

Has trash been taken out? Are trash cans clean inside/out?

Are the floors clean?

Are the showers clean?

Area not evaluated.

Critical Issue.

Needs Attention.

Keep at this standard or better.

Showers are exemplary.

Safety/Fire Safety

Is safety equipment easily accessible? Fire extinguishers, pull stations, PPE, first aid kit, etc.

Are wet floor signs and other safety measures being utilized? (Mats, spills immediately cleaned, etc.)

Is the 18" rule being followed?

Are means of egress clear to exit?

Is the area clear of slips, trips, and fall hazards?

Maintenance

Are there any obvious maintenance issues?

Who will be submitting the maintenance request form?

Security

Are containers (cleaning supplies) properly labeled and secured?

Are security doors secured?

Have unnecessary security threats been removed from the area?

Hit the "Next" button.

Medical

Sanitation

Is area properly stocked, I.e. paper towels, soap, sanitizer?

Are cell bars, windows, window sills, doors, etc. clean/dust free?

Are vents free of dust/grime? Are surrounding areas dust free?

Has trash been taken out? Are trash cans clean inside/out?

Are the floors clean?

Have appliances been wiped down?

Are work areas clean, decontaminated?

Are the showers clean?

Area not evaluated.

Critical Issue.

Needs Attention.

Keep at this standard or better.

Showers are exemplary.

Safety/Fire Safety

Is safety equipment easily accessible? Fire extinguishers, pull stations, PPE, first aid kit, etc.

Are wet floor signs and other safety measures being utilized? (Mats, spills immediately cleaned, etc.)

Is the 18" rule being followed?

Is area free of clutter?

Are means of egress clear to exit?

Is the area clear of slips, trips, and fall hazards?

Maintenance

Are there any obvious maintenance issues?

Who will be submitting the maintenance request form?

Security

Are containers (cleaning supplies) properly labeled and secured?

Are inmates in cells visible? (Nothing should be hanging over the bottom bunk or over toilet area obstructing the view).

Is anything hanging from the bars, i.e., clothes lines, trash bags, clothing, etc.?

Is the main Security door secure? Are cell doors secure?

Have unnecessary security threats been removed from the area?

Hit the "Next" button.

Common Areas

Sanitation

Are areas properly stocked, I.e. paper towels, soap, sanitizer?

Are windows, window sills, doors, etc. clean/dust free?

Are vents free of dust/grime? Are surrounding areas dust free?

Has trash been taken out? Are trash cans clean inside/out?

Are the floors clean?

Safety/Fire Safety

Is safety equipment easily accessible? Fire extinguishers, pull stations, PPE, first aid kit, etc.

Are wet floor signs and other safety measures being utilized? (Mats, spills immediately cleaned, etc.)

Is the 18" rule being followed?

Are means of egress clear to exit?

Is the area clear of slips, trips, and fall hazards?

Maintenance

Are there any obvious maintenance issues?

Who will be submitting the maintenance request form?

Security

Are containers (cleaning supplies) properly labeled and secured?

Are security doors secure?

Have unnecessary security threats been removed from the area?

Hit the "Next" button.

D3

Temperature at Officer's desk:

Sanitation

Is area properly stocked, I.e. paper towels, soap, sanitizer?

Are cell bars, windows, window sills, etc. clean/dust free?

Are vents free of dust/grime? Are surrounding areas dust free?

Has trash been taken out? Are trash cans clean inside/out?

Are the floors clean?

Have appliances been wiped down?

Are the showers clean?

Area not evaluated.

Critical Issue.

Needs Attention.

Keep at this standard or better.

Showers are exemplary.

Safety/Fire Safety

Is safety equipment easily accessible? Fire extinguishers, pull stations, PPE, first aid kit, etc.

Are wet floor signs and other safety measures being utilized? (Mats, spills immediately cleaned, 18" rule, etc.)

Are living areas free of clutter?

Are means of egress clear to exit?

Is the area clear of slips, trips, and fall hazards?

Maintenance

Are there any obvious maintenance issues?

Who will be submitting the maintenance request form?

Security

Are containers (cleaning supplies) properly labeled and secured?

Are inmates in cells visible? (Nothing should be hanging over the bottom bunk or over toilet area obstructing the view).

Is the main Pod door secure? Are cell doors secure?

Have unnecessary security threats been removed from the area?

Hit the "Next" button.

D2

Temperature at Officer's desk:

Sanitation

Is area properly stocked, I.e. paper towels, soap, sanitizer?

Are cell bars, windows, window sills, doors, etc. clean/dust free?

Are vents free of dust/grime? Are surrounding areas dust free?

Has trash been taken out? Are trash cans clean inside/out?

Are the floors clean?

Have appliances been wiped down?

Are the showers clean?

Area not evaluated.

Critical Issue.

Needs Attention.

Keep at this standard or better.

Showers are exemplary.

Safety/Fire Safety

Is safety equipment easily accessible? Fire extinguishers, pull stations, PPE, first aid kit, etc.

Are wet floor signs and other safety measures being utilized? (Mats, spills immediately cleaned, 18" rule, etc.)

Are living areas free of clutter?

Are means of egress clear to exit?

Is the area clear of slips, trips, and fall hazards?

Maintenance

Are there any obvious maintenance issues?

Who will be submitting the maintenance request form?

Security

Are containers (cleaning supplies) properly labeled and secured?

Are inmates in cells visible? (Nothing should be hanging over the bottom bunk or over toilet area obstructing the view).

Is the main Pod door secure? Are cell doors secure?

Have unnecessary security threats been removed from the area?

Hit the "Next" button.

4B

Temperature at Officer's desk:

Sanitation

Is area properly stocked, I.e. paper towels, soap, sanitizer?

Are cell bars, windows, window sills, etc. clean/dust free?

Are vents free of dust/grime? Are surrounding areas dust free?

Has trash been taken out? Are trash cans clean inside/out?

Are the floors clean?

Have appliances been wiped down?

Are the showers clean?

Area not evaluated.

Critical Issue.

Needs Attention.

Keep at this standard or better.

Showers are exemplary.

Safety/Fire Safety

Is safety equipment easily accessible? Fire extinguishers, pull stations, PPE, first aid kit, etc.

Are wet floor signs and other safety measures being utilized? (Mats, spills immediately cleaned, 18" rule, etc.)

Are cells free of clutter?

Are means of egress clear to exit?

Is the area clear of slips, trips, and fall hazards?

Maintenance

Are there any obvious maintenance issues?

Who will be submitting the maintenance request form?

Security

Are containers (cleaning supplies) properly labeled and secured?

Are inmates in cells visible? (Nothing should be hanging over the bottom bunk or over toilet area obstructing the view).

Is anything hanging from the bars, i.e., clothes lines, trash bags, clothing, etc.?

Is the main Pod door secure? Are cell doors secure?

Have unnecessary security threats been removed from the area?

Hit the "Next" button.

4C

Temperature at Officer's desk:

Sanitation

Is area properly stocked, I.e. paper towels, soap, sanitizer?

Are cell bars, windows, window sills, etc. clean/dust free?

Are vents free of dust/grime? Are surrounding areas dust free?

Has trash been taken out? Are trash cans clean inside/out?

Are the floors clean?

Have appliances been wiped down?

Are the showers clean?

Area not evaluated.

Critical Issue.

Needs Attention.

Keep at this standard or better.

Showers are exemplary.

Safety/Fire Safety

Is safety equipment easily accessible? Fire extinguishers, pull stations, PPE, first aid kit, etc.

Are wet floor signs and other safety measures being utilized? (Mats, spills immediately cleaned, 18" rule, etc.)

Are cells free of clutter?

Are means of egress clear to exit?

Is the area clear of slips, trips, and fall hazards?

Maintenance

Are there any obvious maintenance issues?

Who will be submitting the maintenance request form?

Security

Are containers (cleaning supplies) properly labeled and secured?

Are inmates in cells visible? (Nothing should be hanging over the bottom bunk or over toilet area obstructing the view).

Is anything hanging from the bars, i.e., clothes lines, trash bags, clothing, etc.?

Is the main Pod door secure? Are cell doors secure?

Have unnecessary security threats been removed from the area?

Hit the "Next" button.

3B

Temperature at Officer's desk:

Sanitation

Is area properly stocked, I.e. paper towels, soap, sanitizer?

Are cell bars, windows, window sills, etc. clean/dust free?

Are vents free of dust/grime? Are surrounding areas dust free?

Has trash been taken out? Are trash cans clean inside/out?

Are the floors clean?

Have appliances been wiped down?

Are the showers clean?

Area not evaluated.

Critical Issue.

Needs Attention.

Keep at this standard or better.

Showers are exemplary.

Safety/Fire Safety

Is safety equipment easily accessible? Fire extinguishers, pull stations, PPE, first aid kit, etc.

Are wet floor signs and other safety measures being utilized? (Mats, spills immediately cleaned, 18" rule, etc.)

Are cells free of clutter?

Are means of egress clear to exit?

Is the area clear of slips, trips, and fall hazards?

Maintenance

Are there any obvious maintenance issues?

Who will be submitting the maintenance request form?

Security

Are containers (cleaning supplies) properly labeled and secured?

Are inmates in cells visible? (Nothing should be hanging over the bottom bunk or over toilet area obstructing the view).

Is anything hanging from the bars, i.e., clothes lines, trash bags, clothing, etc.?

Is the main Pod door secure? Are cell doors secure?

Have unnecessary security threats been removed from the area?

Hit the "Next" button.

3C

Temperature at Officer's desk:

Sanitation

Is area properly stocked, I.e. paper towels, soap, sanitizer?

Are cell bars, windows, window sills, etc. clean/dust free?

Are vents free of dust/grime? Are surrounding areas dust free?

Has trash been taken out? Are trash cans clean inside/out?

Are the floors clean?

Have appliances been wiped down?

Are the showers clean?

Area not evaluated.

Critical Issue.

Needs Attention.

Keep at this standard or better.

Showers are exemplary.

Safety/Fire Safety

Is safety equipment easily accessible? Fire extinguishers, pull stations, PPE, first aid kit, etc.

Are wet floor signs and other safety measures being utilized? (Mats, spills immediately cleaned, 18" rule, etc.)

Are cells free of clutter?

Are means of egress clear to exit?

Is the area clear of slips, trips, and fall hazards?

Maintenance

Are there any obvious maintenance issues?

Who will be submitting the maintenance request form?

Security

Are containers (cleaning supplies) properly labeled and secured?

Are inmates in cells visible? (Nothing should be hanging over the bottom bunk or over toilet area obstructing the view).

Is anything hanging from the bars, i.e., clothes lines, trash bags, clothing, etc.?

Is the main Pod door secure? Are cell doors secure?

Have unnecessary security threats been removed from the area?

Hit the "Next" button.

2B

Temperature at Officer's desk:

Sanitation

Is area properly stocked, I.e. paper towels, soap, sanitizer?

Are cell bars, windows, window sills, etc. clean/dust free?

Are vents free of dust/grime? Are surrounding areas dust free?

Has trash been taken out? Are trash cans clean inside/out?

Are the floors clean?

Have appliances been wiped down?

Are the showers clean?

Area not evaluated.

Critical Issue.

Needs Attention.

Keep at this standard or better.

Showers are exemplary.

Safety/Fire Safety

Is safety equipment easily accessible? Fire extinguishers, pull stations, PPE, first aid kit, etc.

Are wet floor signs and other safety measures being utilized? (Mats, spills immediately cleaned, 18" rule, etc.)

Are cells free of clutter?

Are means of egress clear to exit?

Is the area clear of slips, trips, and fall hazards?

Maintenance

Are there any obvious maintenance issues?

Who will be submitting the maintenance request form?

Security

Are containers (cleaning supplies) properly labeled and secured?

Are inmates in cells visible? (Nothing should be hanging over the bottom bunk or over toilet area obstructing the view).

Is anything hanging from the bars, i.e., clothes lines, trash bags, clothing, etc.?

Is the main Pod door secure? Are cell doors secure?

Have unnecessary security threats been removed from the area?

Hit the "Next" button.

2C

Temperature at Officer's desk:

Sanitation

Is area properly stocked, I.e. paper towels, soap, sanitizer?

Are cell bars, windows, window sills, etc. clean/dust free?

Are vents free of dust/grime? Are surrounding areas dust free?

Has trash been taken out? Are trash cans clean inside/out?

Are the floors clean?

Have appliances been wiped down?

Are the showers clean?

Area not evaluated.

Critical Issue.

Needs Attention.

Keep at this standard or better.

Showers are exemplary.

Safety/Fire Safety

Is safety equipment easily accessible? Fire extinguishers, pull stations, PPE, first aid kit, etc.

Are wet floor signs and other safety measures being utilized? (Mats, spills immediately cleaned, 18" rule, etc.)

Are cells free of clutter?

Are means of egress clear to exit?

Is the area clear of slips, trips, and fall hazards?

Maintenance

Are there any obvious maintenance issues?

Who will be submitting the maintenance request form?

Security

Are containers (cleaning supplies) properly labeled and secured?

Are inmates in cells visible? (Nothing should be hanging over the bottom bunk or over toilet area obstructing the view).

Is anything hanging from the bars, i.e., clothes lines, trash bags, clothing, etc.?

Is the main Pod door secure? Are cell doors secure?

Have unnecessary security threats been removed from the area?

Sign Off
Inspector's Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.