| BASIC LIFE SAFETY |
Finding (circle one) |
| 1. |
Is the Fire Emergency plan posted? |
Yes |
No |
NA |
| 2. |
Are corridors and exits free from obstruction? |
Yes |
No |
NA |
| 3. |
Are exit signs illuminated and visible? |
Yes |
No |
NA |
| 4. |
Are emergency instructions and telephone numbers posted next to telephone? |
Yes |
No |
NA |
| GENERAL OFFICE SAFETY |
| 5. |
Are aisles, doorways and corners free of obstructions to permit visibility and movement? |
Yes |
No |
NA |
| 6. |
Are chairs in safe condition and are casters, rungs and legs sturdy? |
Yes |
No |
NA |
| 7. |
Are all equipment and supplies in their proper places? |
Yes |
No |
NA |
| 8. |
Are machines that "creep" secured away from table edges? |
Yes |
No |
NA |
| 9. |
Are filing cabinets and other heavy equipment placed
against the wall or columns and bolted to the floor or wall? |
Yes |
No |
NA |
| 10. |
Are carts, dollies, etc. available for use in transporting heavy objects and boxes? |
Yes |
No |
NA |
| TRIPPING/FALLING |
| 11. |
Are floor surfaces secure and free of hazards or posted "wet floor" if wet? |
Yes |
No |
NA |
| 12. |
Are carpeted areas clean, carpets secured to floor and free of worn or frayed seams? |
Yes |
No |
NA |
| 13. |
Is a step stool or ladder available to minimize the
temptation to use chairs for reaching high objects? |
Yes |
No |
NA |
| ELECTRICAL |
| 14. |
Are all electrical appliances and equipment properly
grounded or double insulated? |
Yes |
No |
NA |
| 15. |
Is all electrical equipment in proper working order? |
Yes |
No |
NA |
| 16. |
Are extension cords taped to the floor to avoid creating a tripping hazard? |
Yes |
No |
NA |
| 17. |
Are permanent use cords covered by runners when crossing walk-ways? |
Yes |
No |
NA |