HTML Preview Monthly Safety page number 1.
M
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A
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E
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C
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Date of Inspection:
Persons Participating in Inspection:
Company:
POSSIBLE HAZARDS
RATE
HAZARD
NOTES/COMMENTS:
EXTERIOR / PARKING LOT
Are all parking areas well lit?
Are parking areas free of snow, ice
or other obstructions?
Are curbs and other elevations
painted / clearly marked to identify
tripping hazard?
Are all sidewalks and pavements
clear of potholes, debris or other
obstructions?
Are exterior Exits clear?
Any other Concerns? (if yes,
indicate in comment column)
ENTRANCE WAYS
Is the front entrance well lit?
Are all door closure devices
working properly?
Are all doors free of sharp objects?
Are all threshold plates on all doors
secure? No protruding screws?
Are solid glass door marked to alert
customers?
Any other Concerns? (if yes,
indicate in comment column)
OFFICE AREAS
Housekeeping acceptable?
Aisle ways, Emergency Exits clear?
Have all fire extinguishers been
inspected within the last year? Is
the tag initialed and dated?
Is emergency lighting inspected?
Is the employee lunchroom area
acceptable?