FACILITY INSPECTION CHECKLIST
A. GENERAL SAFETY YES NO N/A UNDETER-
MINED D. EGRESS YES NO N/A UNDETER-
MINED
1. Is there adequate & functional light in all work areas? 1. Are emergency exit doors clearly marked?
2. 2. Are devices/alarms installed and functioning so that they
Are elevators working properly? do not impeded emergency egress?
3. Are work areas free of tripping hazards (rugs, cords/wire, 3. Are doors hung to be readily opened from the egress side
etc)? when building is occupied?
4. Is furniture in good, safe condition? 4. Are emergency and exit lights functioning properly?
5. Is overhead storage utilized safely? 5. Are closed stairs provided w/railing on at least 1 side?
6. 6. When exits are not readily visible, is access marked by
Is anything within 18" of a fire sprinkler head? readily visible signs?
7. Are MSDSs available and accessible to all employees? 7. Are means of egress obstructions/impediments free?
B. FIRE AND ELECTRICAL SAFETY YES NO N/A UNDETER-
MINED
8. Are stair wells adequately lite, are handrails secure and
treads firmly attached to steps?
1. Are portable fire extinguishers mounted & accessible?
2. E. MAINTENANCE INSPECTION YES NO N/A UNDETER-
MINED
Are extinguishers visually inspected monthly?
3. Are fire extinguishers annually inspected and tagged? 1. Are doors/locks in good working order?
4. 2. Do air-conditioning ducts and vents appear to be clean
Do fire alarms function properly during drills? upon visual inspection?
5. Are planned and unplanned drills conducted? 3. Are ceiling tiles intact, undamaged, and in place?
6. Are electrical outlets adequate (no overloads/un-approved 4. Is there sign of weather damage, mold growth, moisture
or multiple extension cords? intrusion, etc. in the facility?
7. Are extension cords in safe operating condition? 5. Are windows free of cracks/damage?
8. Are employee lounges free of visual fire hazards or 6. Does the outside of the building present any obvious
violations? safety concerns?
9. Is there min 36" clearance around electrical panels? 7. Are outside lights in good working order?
C. GENERAL ENVIRONMENTAL CONTROLS YES NO N/A UNDETER-
MINED 8. Is the parking lot area free of any safety concerns (uneven
pavement, overgrown landscaping, etc.)?
1. Are carpets clean w/no rips, tears, bumps, runs? List problems on COMMENT SHEET
2. Are uncarpeted floors clean, slip-resistant & in good repair?
3. FACILITY/AREA BEING INSPECTED
Are warning signs/mats provided when floors are wet?
4. Are restrooms clean, sanitary and properly stocked?
5. Are lounges and eating areas clean and sanitary?
6. PERSON PERFORMING INSPECTION
Are water fountains clean, sanitary & working?
7. Are work areas vermin, rodent, and insect free?
8. Are waste receptacles emptied regularly?
9. INSPECTION DATE
Are storage areas clean and debris-free?
10. Are walls and woodwork clean?
FACILITY INSPECTION CHECKLIST
COMMENT SHEET
A. GENERAL SAFETY D. EGRESS
1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
6. 6.
7. 7.
B. FIRE AND ELECTRICAL SAFETY 8.
1.
2. E. MAINTENANCE INSPECTION
3. 1.
4. 2.
5. 3.
6. 4.
7. 5.
8. 6.
9. 7.
C. GENERAL ENVIRONMENTAL CONTROLS 8.
1.
2.
3. FACILITY/AREA BEING INSPECTED
4.
5.
6. PERSON PERFORMING INSPECTION
7.
8.
9. INSPECTION DATE
10.
