Monthly Self-Inspection Checklist
Diocese of Pensacola-Tallahassee (Revised April 2025)
Location and Site ID:
*
Basilica of St. Michael the Archangel 038
Blessed Sacrament 060
Blessed Trinity 004
Cathedral of the Sacred Heart 032
Catholic Charities, Fort Walton Beach 088
Catholic Charities, Panama City 080
Catholic Charities, Pensacola 081
Catholic Charities, Tallahassee 087
Christ Our Redeemer Church 046
Christ the King Church 047
Co-Cathedral of St. Thomas More 062
Corpus Christi Church 011
Fox Trace Housing 086
Good Shepherd Church 061
Holy Cross Cemetery 083
Holy Cross Church (Closed) + 2 Rentals 006
Holy Family Catholic Academy 034
Holy Name of Jesus Church 024
Holy Spirit CDA 095
Holy Spirit Church 070
Immaculate Conception Church 050
Joseph House (302 Bradford Rd) 098
Little Flower Church 030
Little Flower School 040
Mother Clelia Morningstar High School 085
Nativity of Our Lord Church 031
Our Lady of the Assumption Mission 079
Our Lady of the Rosary Church 044
Our Lady of Victory Church 009
Our Lady Queen of Martyrs Church 043
Our Lady Queen of Peace Mission 014
Pastoral Center 001
Pensacola Catholic High School 082
Resurrection Church 048
Sacred Heart Cathedral School 078
Sacred Heart of Jesus Church 017
St. Ann Church, Gulf Breeze 015
St. Ann Discovery School 041
St. Anne Church, Bellview 033
St. Anne Church, Marianna 019
St. Anthony of Padua Church 035
St. Barnabas House (Catholic Charities-Panama City)
St. Bernadette CDA 092
St. Bernadette Church 029
St. Brendan's Retreat Center 101
St. Dominic Church 026
St. Elizabeth Ann Seton Church 008
St. Elizabeth of Hungary Mission 003
St. Eugene Chapel (FAMU) 063
St. Francis of Assisi Church 016
St. John Catholic Academy, Panama City 028
St. John Neumann Center (685 Miccosukee Rd) 060
St. John Paul II Catholic High School 066
St. John Paul II Church 166
St. John Paul II Pre-School 093
St. John the Evangelist Church, Panama City 027
St. John the Evangelist Church, Pensacola 071
St. John the Evangelist School, Pensacola 075
St. Joseph Church, Pensacola 036
St. Joseph Church, Port St. Joe 051
St. Joseph the Worker Church 007
St. Jude Thaddeus Church 005
St. Louis Church 064
St. Margaret Church, Monticello 023
St. Margaret of Scotland Church, DeFuniak Springs 010
St. Mary Church, Fort Walton Beach 012
St. Mary Church, Pensacola 037
St. Mary School 013
St. Patrick Church 002
St. Paul Church 039
St. Paul School 042
St. Peter Church 020
St. Rita Church 057
St. Rita Pre-School 094
St. Rose of Lima Church 022
St. Stephen Church 084
St. Stephen the Protomartyr Oratory (Closed) 065
St. Sylvester Church 077
St. Theresa Church 053
St. Thomas More Church 072
St. Thomas the Apostle Church 052
St. Vincent de Paul Church 018
Sts. Peter & Paul Church 025
Trinity Catholic School 068
Trinity House (1 N C St.) 001
Trinity Village 001
Test Location
General Safety
Rows
Yes
No
N/A
Comments
Outside sidewalks even and level?
Mats secured and in place?
Exterior and interior doors open/close properly?
No slip/trip/fall hazards?
No water on the floor anywhere, including entrances and exits?
All building exits clearly marked with functional EXIT signs?
All emergency lights functional?
Stairway handrails secure and in good condition?
No storage on or under stairways?
Current inspection tags on fire extinguishers and fire panels?
Interior hallways, aisles, and walking paths are free of clutter and hazards?
No electrical safety concerns (e.g., missing outlet covers, spliced wires, and daisy chaining)?
No extension cords used in lieu of permanent wiring?
Machines and power tools properly guarded?
Ladders, step stools, and kneelers in good condition?
Items stored in an orderly and safe manner?
Exterior wooden structures (e.g., ramps, walkways, benches, and handrails) are structurally sound, in good repair, and not splintered?
Exterior grounds are free of unsecured and/or extraneous and unnecessary items?
(Locations with AEDs Only) Confirmed each AED is operational and pads have not expired?
Restrooms/Kitchens
Rows
Yes
No
N/A
Comments
Floor surface free from water or wet conditions?
Towel and hand soap dispensers filled and properly located?
No plumbing leaks?
Clean and in good sanitary condition?
Potable/Non-Potable water sources clearly identified?
Florida DEP/Health Department requirements met?
Does your location have a playground?
Yes
No (Skip the Playgrounds section and go to the Security section below.)
Playgrounds
Rows
Yes
No
N/A
Comments
Gate closed and playground secured?
Surfaces checked at least weekly and raked to prevent packing? No hidden hazards?
Equipment footings stable, secured, buried, and covered by surfacing materials?
Surfaces and equipment interiors free of standing water?
Ropes, chains, and cables free of frays and/or wear?
"S" and "C" hook openings no more than 0.04" (thickness of the flat surface of a dime)?
Metal equipment free of rust and chipping paint?
Wooden equipment free of splinters and rough surfaces?
Nuts, bolts, and screws recessed, covered, or sanded smooth and level?
No missing parts and no sharp edges/parts?
No broken steps, hand-holds, rungs, or seats?
Swing seats made only of canvas, rubber, or other lightweight material?
No pinch, crush, or shear points?
No open "V" entrapment angles or holes that form finger traps (e.g., at tube ends)?
No tripping hazards?
Security
Rows
Yes
No
N/A
Comments
Employees have ID badges displayed?
Storage closets, electrical and mechanical rooms, custodian closets, and other peripheral rooms locked?
Electrical panels secured from unauthorized entry?
Exterior doors locked and prevent outside entry (but open from inside)?
Perimeter protection (fences/gates) secured?
Surveillance cameras in place with complete coverage and working?
All guests/visitors wearing ID badges?
Radios and internal communication system(s) operational?
No loose items on grounds that could be used as a weapon and/or a way to gain unauthorized entry?
Parking Lots
Rows
Yes
No
N/A
Comments
Traffic control signs legible and posted in correct locations?
Landscaping not blocking driver’s vision?
Parking lot free of hazardous break-up, damage, and/or debris?
No potholes in travel path?
Parking bumpers and/or parking stops secured and entirely color-coded?
Parking spaces/aisles clearly marked?
Easy parking and building access provided for handicapped visitors?
Traffic Control
Rows
Yes
No
N/A
Comments
Signs/pavement markings and/or cones indicate direction of traffic flow and speed limits?
Traffic flaggers used when needed for traffic control?
Traffic flaggers wear high visibility vests? Equipped with flags, paddles, and/or flashlights?
(Schools Only) Staff members monitor drop-off and pick-up lines?
Flammable Liquids/Chemicals
Rows
Yes
No
N/A
Comments
All chemicals stored in properly labeled original containers or marked secondary containers?
No leaking containers or detectable odors?
Chemical containers secured in appropriate storage cabinets or locked storage rooms?
Safety Data Sheet available for each chemical that is stored or used?
Chemicals stored properly per the Safety Data Sheets?
Appropriate Personal Protective Equipment (PPE) available for use?
Inspected By and Date:
*
Save
Submit
Clear Form
Print Form
Should be Empty: