FORM CD-573
(2/03)
                                    U. S. Department of Commerce
                                  Office Safety Inspection Checklist for
                                           Safety Managers
(This checklist is intended as a guide to assist Safety Managers in conducting safety and health inspections. It includes
questions relating to general office safety, ergonomics, fire prevention, and electrical safety. Questions which receive a
 NO answer require corrective action.)
 Name:                                                          Division:
 Fac ility:                                                     Date:
 Signature:
          Deficiency Description               Yes   No   N/A           Location(s) and Corrective Actions        Date
                                                                                                                Corrected
 Work Environment
 Are all work areas clean and sanitary?
 Is there adequate lighting?
 Is the noise level within an acc eptable
 range?
 Is ventilation adequate?
 Is combustible storage minimized?
 Walking and Working Areas
 Are carpet/floor tiles secure?
 Is carpeting free of tears or trip hazards?
 Are floors free of water or slippery
 substances?
 Are floor or running mats used at
 building entrances safe from trips?
 Are protective guards in place?
 Are materials and cords stored so they
 don t interfere with walkways?
 Are aisles free of boxes, wastebaskets,
 chairs, and other obstacles that impede
 egress?
 Are elevators inspected annually and are
 inspections certificates available on site
 for review?
 Are guardrails provided where required?
 Is storage secure and stable?
 Is furniture free of unsafe defects?
 Are desk, file, and book case drawers
 closed when not in use?
 Are sharp items stored safely?
FORM CD-573
(2/03)
         Deficiency Description              Yes   No   N/A   Location(s)     Date
                                                                            Corrected
 Are ceiling tiles secure?
 Are vents free of obstructions?
 Are fans/space heaters properly used
 and ventilated?
 Emergency and Safety Information
 Is the OSHA poster on display?
 Are evacuation routes posted?
 Are emergency phone numbers posted?
   Other posting or signage adequate?
 Is a copy of the facility fire prevention
 and emergency action plan available on
 site?
 Are safety hazard warning signs
 provided where necessary?
 Are wheelchair, board/stretcher, and
 safe zone locations marked and
 adequate?
 Are employees trained on emergency
 procedures?
 Ergonomics
 Are employees advised on proper lifting
 techniques?
 Are ergonomic conditions adequate?
   Workstations?
   Keyboards?
   Postures?
   Work habits?
   Repetitive motion?
 Are employees surveyed annually?
 Fire Safety and Prevention
 Are fire extinguishers mounted, visible,
 and accessible?
 Are fire extinguishers fully charged and
 inspected monthly? (tag, date, initial)
 Is extinguishing equipment adequate and
 unobstructed?
 Are employees properly trained to use
 fire extinguishers?
 Are fire alarm pull stations locations
 adequate and unobstructed?
FORM CD-573
(2/03)
          Deficiency Description             Yes   No   N/A   Location(s)     Date
                                                                            Corrected
 Are extension cords used only in an
 emergency and for temporary use only?
 Are all electrical boxes closed?
 Do outlets have appropriate covers?
 Do electrical appliances have ground
 pins or double insulation?
 Are all appliances plugged directly into
 wall outlets?
 Are coffee pots or heat producing
 appliances away from flammables?
 Are materials that could burn kept away
 from ignition sources?
 Is heat producing equipment turned off
 at night when no one is present?
 Are all electrical panel box switches
 labeled for purpose of use?
 Are electrical outlets or cords adequate
 for intended load?
 Are electrical cords free of frays or
 damage?
 Chemical Storage and Safety
 Are chemicals properly stored?
 Are the MSDSs readily accessible?
 Is an inventory of chemicals available?
 Are all containers labeled?
 Are eyewash/showers stations tested?
 Are eyewash/shower layout locations
 adequate and unobstructed?
 First Aid
 Are CPR/first aid kits accessible and
 fully stocked?
 Are CPR/first aid kit locations adequate?
 Are an adequate num ber of first aid
 trained personnel available?
 Other:
 Are employees properly wearing PPE?
 Are employees w ho wear PPE prope rly
 trained?
 Have medical evaluations been
 performed, when required?