Facility Inspection Checklist
Inspector:                                                      Date:
This inspection checklist monitors the compliance activities at the facility. It also serves as a hazard assessment to
current activities. The inspection shall be completed in all areas of the facility, including warehouse and office areas as it
is applicable. Issues shall be summarized on the last page. Corrections will be made and documented completion date
on the summary page. All corrections are expected to be completed in a timely manner.
    REVIEW OF PRIOR CORRECTIONS              Yes   No N/A                                Comments
 Have all identified issues been
 corrected and noted on the previous
 facility inspection summary?
 Are all corrections of previously
 identified issues still effective and not
 recurring?
 **If issues are recurring a corrective action must be opened.
          EMERGENCY LIGHTING                Yes     No     N/A                            Comments
 All exit signs illuminated and remain
 illuminated when battery tested?
 All exit signs free of damage?
       EMERGENCY PREPAREDNESS               Yes     No     N/A                            Comments
 Are all walkways and aisle ways free
 of obstructions?
 Are all exits free of storage and
 clutter?
 Are stairwells and corridors free of
 storage and clutter?
 Are all employees trained on
 Emergency Evacuation Procedures?
 Are all employees aware of the
 proper meeting location in the event
 of an emergency?
 Are all materials stored in racks
 wrapped and stable to prevent
 falling?
 Is the First Aid cabinet fully stocked?
 Is the fire alarm panel indicating an
 alarm condition?
 Are all manual pull stations
 unobstructed and accessible?
 Is there anything else relating to
 emergency preparedness that needs
 attention at this time?
           FIRE EXTINGUISHERS               Yes     No     N/A                            Comments
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                                           Facility Inspection Checklist
Are all extinguishers in their
designated location?
Are all extinguishers clearly identified
with a wall mounted sign?
Are all extinguishers securely
mounted to the wall?
Are all extinguishers easily accessible
and free of obstructions?
Is the last annual inspection within
the past 12 months?
Are inspection tags current with
initial and date of inspection?
Are all seals and tamper pins in
place?
Are all extinguishers free of damage,
corrosion, leakage or clogged
nozzles?
Do all pressure gauges indicate the
extinguishers are ready for use?
Are all staff members trained on fire
extinguisher use?
Do all staff members know where the
extinguishers are located?
Is there anything else that needs
attention at this time?
                EYEWASH                 Yes    No N/A                      Comments
Are there caps covering the
emergency eyewash?
Is the emergency eyewash free of
dust, dirt, and other debris?
Does the emergency eyewash
function properly when turned on?
*Initial the tag on the emergency eyewash after inspection
              LADDERS                      Yes   No   N/A                  Comments
Are any steps damaged?
Does the ladder operate freely upon
opening/closing or extending?
Is there any visible corrosion on the
ladder?
When accessing landings, does the
ladder extend at least 36” beyond the
landing?
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               LADDERS                      Yes   No   N/A                  Comments
Are all employees using ladders
trained in Ladder Safety?
                FORKLIFTS                   Yes   No   N/A                  Comments
Are pre-use inspections completed
on all Forklifts prior to each shift?
Are all designated forklift operators
properly trained in each type of
forklift in use?
Are the forklifts free of visible
damage?
Is there anything else relating to
forklifts that needs attention at this
time?
        HAZARDOUS MATERIALS                 Yes   No   N/A                  Comments
Are SDSs available on all hazardous
materials in the facility?
Are all SDSs readily available for all
employees?
Are all employees trained on how to
locate, read and understand an MSDS
sheet? (Hazard Communications)
Are all liquids stored in the
appropriate containers?
Are all HW/UW containers labeled
with the contents and an
accumulation start date?
Are all personnel equipped with
adequate PPE for these materials?
Are all spill kits located in the correct
area?
Are all spill kits fully stocked with the
needed equipment?
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        HAZARDOUS MATERIALS               Yes   No    N/A                  Comments
Is there anything else relating to
hazardous materials that needs
attention at this time?
              HOUSEKEEPING                Yes    No   N/A                  Comments
Are all areas cleaned on a regular
basis?
Are all walkways are at least 36 inches
and free of other items that could
cause a tripping hazard?
Are all floors free of liquids to avoid
trips and falls?
Is equipment returned to their proper
storage location when not in use to
avoid a tripping hazard?
Check Office area. Is there NO signs of
spills; Is there NO debris or garbage;
Are areas neat/organized?
Check outside of warehouse. Is there
NO sign of spills; clear; NO debris or
garbage?
Check inside of Warehouse. Is there
no sign of spills; areas are
neat/organized:
NO containers leaking?
All containers clearly labeled?
Flammable materials such as
cardboard and paper are stored away
from fire hazards and not
accumulated throughout the
warehouse?
Tools are safely secured and stored
when not in use?
Are there any other housekeeping
issues that need to be addressed?
              ELECTRICAL                  Yes   No    N/A                  Comments
No circuit breakers regularly tripping?
No extension cords used for a
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permanent operation?
Are all plugs and cords in good
condition?
Are all extension cords plugged into a
grounded outlet when in use?
No electrical switches, switch plates
or receptacles, cracked, broken or
have exposed contacts?
Do all electrical panels have a
surrounding space of 3 feet clear?
Are all electrical circuit breakers
identified?
Are there any other electrical issues
that need attention at this time?
PERSONAL PROTECTIVE EQUIPMENT            Yes   No   N/A                  Comments
Is there adequate PPE for all job
types on site?
Do all personnel requiring
prescription safety glasses have
them?
Are all personnel trained in the
proper use of all PPE as required by
their job(s)?
Is signage displayed in areas where
PPE is required?
Are employees wearing proper
footwear in accordance with PPE
requirements?
Are employees wearing gloves wear
required by the tasks?
Are there any other PPE issues that
need to be addressed at this time?
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     RESPIRATORY PROTECTION              Yes   No   N/A                  Comments
Are employees who use respirators,
voluntarily, trained?
Are respirators stored in a sealed
bag?
Are respirators disposed of when
soiled?
Are respirators used according to the
NIOSH ratings?
Are there any other Respirator issues
that need to be addressed at this
time?
    LEGAL & OTHER REQUIREMENTS           Yes   No   N/A                  Comments
Are containers with batteries, broken
lamps, broken CRT glass, or PCB
ballasts closed with lids?
Are all Universal Wastes labeled with
a Universal Waste label?
Is the Accumulation Start Date filled-
in on the UW label?
Are batteries taped or terminals
separated to avoid contact?
Are R2 Focus Materials separated
and managed from plastics and
metals?
Are waste containers, dumpsters,
and Steel Roll-offs free of R2 Focus
Materials and Universal Wastes?
Are all Focus Materials and Universal
Wastes properly stored under roof to
prevent storm water runoff?
Are there any new activities,
equipment or materials that may
change the legal requirements?
               SECURITY                  Yes   No   N/A                  Comments
Are all entry ways secured from
unauthorized access?
Are surveillance video cameras in
working order?
Are video recording devices in
working order and storing video
accordingly?
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Are there any other security issues to
be addressed?
Owner: Management Representative                                         Published Revision: 0.0
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  Other Equipment Maintenance      Working   Broken   N/A             Comments
Electric Drill
Drill Press
Pallet Jacks
Fans
Tables
Ladders
Lighting
Carts
Storage Racks
Storage Cabinets
Dumper Bins
Computer Equipment
Truck Stands
Chock Blocks
Hard Drive Shredder
Power Tools
Air Tools
Owner: Management Representative                                                 Published Revision: 0.0
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             Air Compressor              Yes   No   N/A                  Comments
Was the air compressor drained of
fluid?
Is fluid drain from the air compressor
captured?
Are all belt guards in place?
Is the pressure gauge in working
order?
Is the operating pressure within
manufacturer’s specifications?
Is the safety valve in working order?
Are there any leaks in the lines?
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Date of Review:                                  Mgmt Reviewer:
          Unsafe condition                                                                       Resolution
          or work practice         Person Assigned          Corrective Actions   Due Date          Date
 1
Owner: Management Representative                                                   Published Revision: 0.0
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