WOODBURY COUNTY REC - Monthly Office Inspection

IAEC MONTHLY OFFICE INSPECTION

• Conducted on

  Date

• Prepared by

EMERGENCY EVACUATION PLAN

• Evacuation plan displayed?

  Yes

  No

  N/A

• Exit lights functioning properly?

  Yes

  No

  N/A

• Exits clear of obstructions?

  Yes

  No

  N/A

FIRE EXTINGUISHERS

• Extinguishers in place and clearly marked for type of fire?

  Yes

  No

  N/A

• Extinguishers monthly inspection complete?

  Yes

  No

  N/A

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  Media

• Extinguishers yearly inspection complete?

  Yes

  No

  N/A

• Extinguishers clear of obstructions?

  Yes

  No

  N/A

• I certify that I have personally inspected or verified that each FE has a valid inspection completed

  Yes

  No

  N/A

• Add signature

  Sign

General Lighting

• Bulbs or fixtures needing replacement?

  Yes

  No

  N/A

• Emergency lighting operable?

  Yes

  No

  N/A

GENERAL HOUSEKEEPING

• Entries and walkways free of trip hazards?

  Yes

  No

  N/A

• Extension cords in good condition?

  Yes

  No

  N/A

• Are railings in good condition?

  Yes

  No

  N/A

• Space heaters being used?

  Yes

  No

  N/A

• Sharps are guarded/locks in place?

  Yes

  No

  N/A

• Kitchen areas well kept?

  Yes

  No

  N/A

• All doors to offices/rooms clearly marked?

  Yes

  No

  N/A

• Shelving and storage racks organized and free of falling hazards?

  Yes

  No

  N/A

CHEMICALS

• Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• All containers labeled correctly?

  Yes

  No

  N/A

• All chemicals stored properly?

  Yes

  No

  N/A

LADDERS

• Are all ladders properly identified with weight capacity rating and mfg information?

  Yes

  No

  N/A

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  Media

• I have listed the location of each ladder in the text box above? Each ladder is uniquely identified (such as by a letter or number)?

  Yes

  No

  N/A

• Are ladders in good condition?

  Yes

  No

  N/A

• If used for electrical work are they non conductive?

  Yes

  No

  N/A

• Are ladders properly secured when not in use?

  Yes

  No

  N/A

• I certify that I have personally inspected each of the ladders identified above

  Yes

  No

  N/A

• Add signature

  Sign

FIRST AID - BIO HAZARD - AED

• Monthly inspection of first aid contents complete and compliant?

  Yes

  No

  N/A

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  Media

• Monthly inspection of bio hazard contents complete and compliant?

  Yes

  No

  N/A

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  Media

• AED batteries ok?

  Yes

  No

  N/A

• Add media

  Media

• Easy access to first aid kit, bio hazard kit and AED?

  Yes

  No

  N/A

• Location of each clearly marked?

  Yes

  No

  N/A

• I certify that I have personally inspected or verified that each FA, BIO Haz kit and AED has a valid inspection completed

  Yes

  No

  N/A

• Add signature

  Sign

• Auditor's signature

  Sign

• Select date

  Date