YWCA St. Thomas Elgin Safety Inspection

Basement

Rows	No Hazards Found	Comment/Hazards
Boiler Room
Emergency Exit Stairwell - Exterior
Maintenance Office
Electrical/Storage Room
English Class - LINC
IT Office
Lower Washroom
Storage Room (Sauna)
Cork Room
Youth Office
Emergency Exit Stairwell - Youth Office

Basement - Emergency Equipment

Rows	Works	Doesn't Work	Comments
Fire Extinguisher - Maintenance Room - 388416
Fire Extinguisher - Basement Hallway - 41552962
Carbon Monoxide Detector - Boiler Room

First Floor

First Floor Safety Equipment

Rows	Works	Doesn't Work	Comments
Fire Extinguisher - Alt Ed Classroom - AF 977166
Fire Extinguisher-Settlement Office - !-43080684
Fire Extinguisher-Gym - B500
Fire Extinguisher-Outreach Office - 8030426
Fire Extinguisher -Hallway by Dungeon - 0826143193
Fire Extinguisher - Outside Laundry Room - B402
Carbon Monoxide Detector - 1st Floor entry by closet
Smoke Detector - 1st Floor

Second Floor

Rows	No Hazards Found	Comments/Hazards
Hallways/Photocopier
Staff Washroom/Storage Closet
Director of Housing Office
Executive Director Office
Childcare Office 1
STELIP Office
Emergency Exit/Stairwell (Front Door)
Lounge
Kitchen
Supply Closet
Director of School-Age Childcare Office
Finance Office Area
Director of Settlement and Wellness Office

Second Floor Safety Equipment

Rows	Works	Doesn't Work	Comments
Automated External Defibrillator - check daily inspections complete
Fire Extinguisher- Second Floor by Thermostat - 897516
Fire Extinguisher- Second Floor by Photocopier - 20202
Fire Extinguisher-Second Floor by Kitchen - 35624193
Carbon Monoxide Detector - 2nd Floor Photocopier
Carbon Monoxide Detector - 2nd Floor Staff Kitchen
Smoke Detector - Second Floor Staff Kitchen

Third Floor

Rows	No Hazards Found	Comments/Hazards
Hallways
Lounge (Large)
Lounge (Small)
Housing Manager Office
Case Manager Office
Kitchen
Washrooms
Storage Closet 1
Storage Closet 2
Emergency Exit/Stairwell (Exterior)

Third Floor Safety Equipment

Rows	Works	Doesn't Work	Comments
Fire Extinguisher- by room #21 - 122820
Fire Extinguisher- by room #7- 13758904
Fire Extinguisher- Kitchen - 35624183
Fire Extinguisher - by room #14 - 685391
Carbon Monoxide Detector -Residence Hall #1
Carbon Monoxide Detector - Residence Hall #2
Carbon Monoxide Detector - Residence Hall #3
Carbon Monoxide Detector - Small Lounge

Other Safety Equipment

Hazard Summary and Action Plan

Name of Worker Member

First NameLast Name

Name of Management Member

First NameLast Name

Inspected Date

Date

AFTER WORKPLACE SAFETY INSPECTION IS COMPLETED CLICK "SUBMIT".

YOUR INSEPECTION WILL AUTOMATICALLY BE SHARED WITH OUR JOINT HEALTH AND SAFETY COMMITTEE CHAIRS.