Building Inspections

Location: *

Other:

Inspection Period:*

MonthlyBi-Annual/ Annual

Date: *

Date

Time:*

Hour Minutes

AM/PM Option

Inspection should minimally be completed by 2 members of Safety Committee and 1 staff who is based at that location. To help ensure the building operates properly, routine inspections are to be conducted at least semi-annually.

Work Environment*

	Yes	No	Comments
Are all work areas clean, sanitary and orderly?
Is there adequate lighting?
Do noise levels appear high?
Is ventilation adequate?
Are machines around workspaces properly guarded?
Is there easy access to telephones in case of an emergency?
Is the thermostat set to a comfortable temperature?
Are “No Smoking within 8’ of building” signs posted?

Location*

	Yes	No	Comments
Is the property’s name/address clearly visible from the roadway?
Is the parking lot properly striped?
Is there a proportionate amount of handicapped spots in the parking lot?
Are all entrances and exits properly marked?
Is there proper lighting in the parking lot?
Are handicapped spots and other specific spots clearly marked with signs?
Are there any potholes in the parking lot?
Are there cracks in the pavement that need to be repaired?
Are unloading zones clearly marked?
Are there wheelchair-accessible ramps leading up to the main entrance?
Is there sufficient lighting on the building’s exterior?
Are there any obstructions in front of fire hydrants?
Is there a trash dumpster on-site? Emptied routinely?
Are ashtrays available in designated smoking areas?
Are exit doors unlocked during business hours?
Is the property shoveled and/or plowed during the winter?

Landscaping *

	Yes	No	Comments
Are yards maintained weekly and/or as needed?
Are flower beds weeded regularly?

Walking/Working Surfaces *

	Yes	No	Comments
Is there loose material, debris, worn carpeting?
Are aisles free of stored material that may present trip hazards?
Are tile floors in places like kitchens and bathrooms free of water and slippery substances?
Are carpet and throw rugs free of tears or trip hazards?
Are pits and floor openings covered or otherwise guarded?
Are standard guardrails provided wherever aisle or walkway surfaces are elevated more than 48 inches above any adjacent floor or the ground?
Are step ladders provided for reaching overhead storage areas and are materials stored safely?
Are file drawers kept closed when not in use?
Is any furniture unsafe or defective?
Are objects covering heating and/or air conditioning vents?

Ergonomics*

	Yes	No	Comments
Are employees advised of proper lifting techniques?
Are workstations configured to prevent common ergonomic problems?
• Are chairs stable?
• Is chair height adjustable?
• Are chair arm rests and back supports adjustable?
• Are employees encouraged to take breaks and stretch after sitting for long periods?
• Are computer monitors adjustable to a proper height?
Are mechanical aids and equipment such as lifting devices, carts and dollies provided where needed?

Emergency Information Postings*

	Yes	No	Comments
Are established emergency phone numbers posted where they can be readily found in case of an emergency?
Are employees trained on emergency procedures (At hire and annually)?
Are fire evacuation procedures/diagrams posted?
Is emergency information posted in every area where you store hazardous materials?
Is established facility emergency information posted near a telephone?
Are the OSHA poster and other required posters displayed conspicuously?
Are adequate first aid supplies available and properly maintained?
Are an adequate number of first aid trained personnel available to respond to injuries and illnesses until medical assistance arrives?
Is a copy of the facility fire prevention and emergency action plan available on site?
Are safety hazard warning signs/caution signs provided to warn employees of pertinent hazards?
Are Safety Data Sheets (SDS) for hazardous materials readily available?

Fire Prevention*

	Yes	No	Comments
Are flammable liquids, such as gasoline, kept in approved safety cans and stored in non-flammable cabinets?
Are portable fire extinguishers distributed properly (less than 75 feet travel distance for combustibles and 50 feet for flammables)?
Are portable fire extinguishers visually inspected monthly and serviced annually?
Is the area around portable fire extinguishers free of obstructions
(18”) and properly labeled?
Is heat-producing equipment used in a well-ventilated area?
Are fire alarm pull stations clearly marked and unobstructed?
Is proper clearance maintained below sprinkler heads (18” clear)?
Are fire and smoke detection systems inspected and serviced regularly?

Emergency Exits*

	Yes	No	Comments
Are doors, passageways or stairways that are neither exits nor access to exits and which could be mistaken for exits, appropriately marked “NOT AN EXIT,” “TO BASEMENT,” “STOREROOM,” etc.?
Are a sufficient number of exits provided?
Are exits kept free of obstructions or locking devices which could impede immediate escape?
Are exits properly marked and illuminated?
Are the directions to exits, when not immediately apparent, marked with visible signs?
Can emergency exit doors be opened from the direction of exit travel without the use of a key or any special knowledge or effort when the building is occupied?
Are exits arranged such that it is not possible to travel toward a fire hazard when exiting the facility?
Is there a clear policy for evacuating the building during a fire?
Are all employees trained on how to evacuate the building quickly in an emergency?

Electrical Systems*

	Yes	No	Comments
Are all cord and cable connections intact and secure?
Are electrical outlets free of overloads? Covered?
Is fixed wiring used instead of flexible extension cords?
Are high-voltage electrical service rooms kept locked?
Is the area around electrical panels and breakers free of obstructions?
Are electrical cords routed such that they are free of sharp objects and clearly visible?
Are all electrical cords grounded?
Are electrical cords in good condition (free of splices, frays, etc.)?
Are electric fans provided with guards of not over one-half inch, preventing finger exposures?
Are space heaters UL (Underwriters Laboratory) listed and equipped with shutoffs that activate if the heater tips over?
Are space heaters located away from combustibles and properly ventilated?
Are all electrical raceways and enclosures in electrical rooms securely fastened?
Are clamps or other securing devices provided on flexible cords or cables, and is the cord jacket securely held in place?
Is all electrical equipment inspected regularly?
Is there a maximum of one power strip used per socket (no daisy chains)?

Material Storage*

	Yes	No	Comments
Are storage racks and shelves capable of supporting the intended load safely?
Are storage racks secured from falling?
Is office equipment stored in a stable manner, not capable of falling?
Are heavier objects stored as low to the ground as possible?
Are lifting devices readily available to reach items placed up high?
Are all combustible and flammable liquids stored properly? Labelled properly?
Is all storage kept out of walkways?

Miscellaneous Items*

	Yes	No	Comments
Are records of Emergency Preparedness Drills current? (Please check Safety Manual at location)
Is Crisis Manual accessible to staff/current?
Evidence of External Inspection done of site? (Fire, Insurance, OSHA, etc.)
Are Sharps containers available for contaminated waste?
Are AED’s in working order? Inspection done

BE- Program Areas*

	Yes	No	N/A	Comments/Action Taken
Program area floors free of dust, debris, trash?
Trash cans are empty?
Is there adequate lighting?
Is ventilation adequate?
Electrical cords are properly stored and not in the walk way or obscuring the work area?
Cleaning products available in the work area? (spray, paper towels, rags)
Are there loose material, debris, worn carpeting?
Are aisles free of stored material that may present trip hazards?
Floors are free of water and slippery substances?
Entrance rugs are free of tears or trip hazards?
Pits and floor openings covered or otherwise guarded?
Expansion joints are properly sealed as to not present a trip hazard.
Staff desk drawers kept closed when not in use?
Work area desks free of clutter and HIPAA protected information?
Is any furniture unsafe or defective?
Cord and cable connections intact and secure?
Are electrical outlets free of overloads? Covered?
Fixed wiring used instead of flexible extension cords? (or run via ceiling)
Is the area around electrical panels and breakers free of obstructions?
Electrical cords routed such that they are free of sharp objects and clearly visible?
Are all electrical cords grounded?
Electrical cords in good condition (free of splices, frays, etc.)?
Do all electrical cords used on the plant floor have proper coverage to prevent tripping?
Space heaters UL (Underwriters Laboratory) listed and equipped with shutoffs that activate if the heater tips over?
Space heaters located away from combustibles and properly ventilated?
Maximum of one power strip used per socket (no daisy chains)?
Heavier objects stored as low to the ground as possible?
Crisis Manual accessible to staff/current?
Building rodent traps are empty and stationed properly.

BE- Location*

	Yes	No	N/A	Comments/Action Taken
Entrances and exits are properly marked?
Trash dumpster is onsite?
Area around dumpster is clean and free of trash and debris?
Exit doors are unlocked (from the inside) during business hours?
Property shoveled and/or plowed during the winter?
No active leaks noted/ reported?
No holes noted on exterior walls of the warehouse, dock and plant floor?
Landscaping is maintained weekly and/or as needed?
Perimeter of the building is free of brush and debris?
Air conditioning and vents are free from debris and are not covered.

BE- Emergency Information *

	Yes	No	N/A	Comments/Action Taken
Emergency phone numbers posted where they can be readily found in case of an emergency?
Fire evacuation procedures/diagrams posted?
OSHA poster and other required posters displayed
Adequate first aid supplies available, not expired and properly maintained?
(Check first Aid kits located on plant floor)
Copy of the facility fire prevention and emergency action plan available on site?
safety hazard warning signs/caution signs provided to warn employees of pertinent hazards?
Safety Data Sheets (SDS) for hazardous materials readily available?
Test of Emergency Procedure completed for the month? Note the drill completed
Exits are free of obstructions or locking devices which could impede immediate escape
Flammable liquids, such as gasoline, kept in approved safety cans and stored in non-flammable cabinets?
Portable fire extinguishers distributed properly (less than 75 feet travel distance for combustibles and 50 feet for flammables)?
Portable fire extinguishers visually inspected monthly and serviced annually?
Area around portable fire extinguishers free of obstructions (18”) and properly labeled?
Fire alarm pull stations clearly marked and unobstructed?

File Upload

Noble Tibbs-- If you came across an issue- please note how you addressed the issue. Please summarize any people you contacted (Facility Manager) and action taken. If you came across an issue that you could not resolve, please note who you contacted to resolve the issue. *

AREAS IN NEED OF CORRECTIVE ACTION / FOLLOW UP: (Note what action you took, areas you addressed and completion date. Use the file upload to attach supporting documentation)*

Person Completing Form:*

First NameLast Name

Email*

example@example.com

Signature*

Other Inspectors onsite:

First NameLast Name

Other Inspectors onsite:

First NameLast Name

Facility Manager Comments/ Action taken: *

Name*

First NameLast Name

Date*

Date

Month: *

Year: *

BE- Work Environment *

	Yes	No	N/A	Comments/Action Taken
Work area floors free of dust, debris, trash?
Work areas organized?
Area worktables are clean/ wiped down?
Blue bins (big and small) are clean?
CFS Machines- free of dust, dirt?
Sealwrap machine- free of dust and dirt?
Trash cans are empty?
Work materials (bags, tape, wrap, and product) is not directly on the plant floor?
Customer Product, not currently being used in production, is stored properly and not in a work area?
Is there adequate lighting?
Is ventilation adequate?
Machines around workspaces properly guarded?
Electrical cords are properly stored and not in the walk way or obscuring the work area?
Cleaning products available in the work area? (spray, paper towels, rags)
Are there loose material, debris, worn carpeting?
Are aisles free of stored material that may present trip hazards?
Floors are free of water and slippery substances?
Entrance rugs are free of tears or trip hazards?
Pits and floor openings covered or otherwise guarded?
Expansion joints are properly sealed as to not present a trip hazard.
Staff desk drawers kept closed when not in use?
Work area desks free of clutter and HIPAA protected information?
Is any furniture unsafe or defective?
Employees are advised of proper lifting techniques? (Note date of last monthly review)
Workstations configured to prevent common ergonomic problems?
Mechanical aids and equipment such as lifting devices, carts and dollies provided where needed?
Cord and cable connections intact and secure?
Are electrical outlets free of overloads? Covered?
Fixed wiring used instead of flexible extension cords? (or run via ceiling)
Is the area around electrical panels and breakers free of obstructions?
Electrical cords routed such that they are free of sharp objects and clearly visible?
Are all electrical cords grounded?
Electrical cords in good condition (free of splices, frays, etc.)?
Do all electrical cords used on the plant floor have proper coverage to prevent tripping?
Space heaters UL (Underwriters Laboratory) listed and equipped with shutoffs that activate if the heater tips over?
Space heaters located away from combustibles and properly ventilated?
Maximum of one power strip used per socket (no daisy chains)?
Heavier objects stored as low to the ground as possible?
Storage kept out of walkways?
Products secured in a sealed container
NO empty skids on the plant floor?
All skids that are not being used or in line to be used for production are stored in the warehouse?
Crisis Manual accessible to staff/current?
Building rodent traps are empty and stationed properly.