Information

IAEC MONTHLY OFFICE INSPECTION

  • Conducted on

  • Prepared by

EMERGENCY EVACUATION PLAN

  • Evacuation plan displayed?

  • Exit lights functioning properly?

  • Exits clear of obstructions?

FIRE EXTINGUISHERS

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

  • Extinguishers monthly inspection complete?

  • Add media

  • Extinguishers yearly inspection complete?

  • Extinguishers clear of obstructions?

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

  • Add signature

General Lighting

  • Bulbs or fixtures needing replacement?

  • Emergency lighting operable?

GENERAL HOUSEKEEPING

  • Entries and walkways free of trip hazards?

  • Extension cords in good condition?

  • Are railings in good condition?

  • Space heaters being used?

  • Sharps are guarded/locks in place?

  • Kitchen areas well kept?

  • All doors to offices/rooms clearly marked?

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

CHEMICALS

  • Safety Data Sheets available for all chemicals?

  • All containers labeled correctly?

  • All chemicals stored properly?

LADDERS

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

  • Add 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)?

  • Are ladders in good condition?

  • If used for electrical work are they non conductive?

  • Are ladders properly secured when not in use?

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

  • Add signature

FIRST AID - BIO HAZARD - AED

  • Monthly inspection of first aid contents complete and compliant?

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  • Monthly inspection of bio hazard contents complete and compliant?

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  • AED batteries ok?

  • Add media

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

  • Location of each clearly marked?

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

  • Add signature

  • Auditor's signature

  • Select date

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.