Workplace Safety Checklist

• Site conducted

  Select

• Company

• Inspector

• Conducted on

  Date
• Address
  Address

Floors

• Is there loose material, debris, worn carpeting?

  Yes

  No

  N/A

• Are the floors slippery, oily or wet?

  Yes

  No

  N/A

Lighting

• Are bulbs missing?

  Yes

  No

  N/A

• Are any areas dark?

  Yes

  No

  N/A

Stairways and Aisles

• Are they clear and unblocked?

  Yes

  No

  N/A

• Are stairways well lighted?

  Yes

  No

  N/A

• Are handrails, handholds in place?

  Yes

  No

  N/A

• Are the aisles marked and visible?

  Yes

  No

  N/A

Emergency Equipment

• Is all fire control equipment regularly tested and certified?

  Yes

  No

  N/A

• Is fire control equipment appropriate for the type of fire it must control?

  Yes

  No

  N/A

• Is emergency lighting in place and regularly tested?

  Yes

  No

  N/A

Sanitation

• Are washrooms and food preparation areas clean?

  Yes

  No

  N/A

• Are the following provided adequately?

• - toilets

  Yes

  No

  N/A

• - showers

  Yes

  No

  N/A

• - potable (drinkable) water

  Yes

  No

  N/A

• - up stairs kitchen

  Yes

  No

  N/A

Maintenance (outside and inside)

• Are doors and locks in good working order?

  Yes

  No

  N/A

• Are ceiling tiles intact, undamaged and in place?

  Yes

  No

  N/A

• Are there no signs of weather damage or mold growth in the facility?

  Yes

  No

  N/A

• Are all windows unbroken and free from any type of damage?

  Yes

  No

  N/A

• Do air conditioning vents and ducts appear to be clean upon visual inspection?

  Yes

  No

  N/A

• Are outside lights in good working order?

  Yes

  No

  N/A

• Does the exterior of the building present no safety concern?

  Yes

  No

  N/A

• Is the parking lot area free of any safety concern? (i.e. overgrown landscaping, uneven pavement, traffic hazards)

  Yes

  No

  N/A

General

• Are aisles, doorways and corners free of obstructions to permit visibility and movement?

  Yes

  No

  N/A

• Are chairs in safe condition and are caster, rungs and legs sturdy?

  Yes

  No

  N/A

• Are all equipment and supplies in their proper places?

  Yes

  No

  N/A

• Is there adequate walking and egress clearance?

  Yes

  No

  N/A

Security

• Do entry and exit procedures provide workers personal security at night?

  Yes

  No

  N/A

• Are emergency (evacuation, fire, bomb threat, hostile person) procedures in place?

  Yes

  No

  N/A

Completion

• Additional recommendation

• Full Name & Signature of Inspector

  Sign