BASIC LIFE SAFETY

Finding (circle one)

1.

Is the Fire Emergency Plan posted?

Yes

No

NA

2.

Are corridors and exits free from obstructions?

Yes

No

NA

3.

Are exit signs illuminated and visible?

Yes

No

NA

4.

Are emergency instructions and telephone numbers at 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