Transcription of Office Safety Inspection Checklist - Nevada
1 Office Safety Inspection Checklist Instructions: This Checklist addresses responsibilities and possible Safety hazards which may be present in an administrative work location. This form is to be completed by employees who have been trained to perform Safety inspections. To complete the Checklist , employee interviews and some records review will occur. Upon completion, the form is provided to all managers and supervisors at the work location and one copy is provided to the Safety coordinator. For any items checked "Unsatisfactory", an explanation must be provided on an attached sheet.
2 Feel free to edit this form to suit your workplace. Inspection Location AgencyOrganizationAddressHousekeeping and aisles are free of litter andspilled liquids (water, pens, paper, etc.)Satisfactory Unsatisfactory N/A are free of cords, boxes, chairs andother tripping or file drawers are closed when notin use and only one drawer is used at a timeErgonomics Office equipment is being usedcorrectlySatisfactory Unsatisfactory N/A are properly positioned at theirdesk and maintain good neutral are using their workstationefficiently and avoiding stretching or reaching for objects placed far awayElectrical devices have manager approvalSatisfactory Unsatisfactory N/A extension cords are in good conditionand are not cords are not being used aspermanent wiringEvacuation/Fire aisles are at least 36
3 Inches wideSatisfactory Unsatisfactory N/A are labeled as signs are installed and lit from aninternal or external are not locked to prevent exit fromthe doors are not propped evacuation plan is extinguishers and pull stations are inthe locations noted on the evacuation extinguishers are identified with signsand not extinguishers appear to be in goodcondition and have been inspectedOther Inspection Items areas are well lit and lights arefunctioning properlySatisfactory Unsatisfactory N/A equipment is kept at least 18 inchesfrom electrical are no observable drips or is in good condition and thecarpets are not ripped and tiles are notbroken or are refraining from unsafebehaviors (standing on chairs, etc.)
4 Signs are posted near hazards(wet floors, repair work, etc.)Comments: Inspector name(s) Date