SELF –INSPECTION CHECKLIST: OFFICE
Department/Supervisor________________________Date_______________
Worksite supervisor should file this form. Annual worksite inspections are recommended.
General Safety
Š Has supervisor ensured that all employees received documented safety toolbox training monthly?
Š Has supervisor ensured that all employees attend trainings provided by Safety Coordinator?
Š Has supervisor ensured that a representative of the department attend the safety committee monthly?
Š Has supervisor ensured that new employees attend the New Employee Orientation provided once a month?
Š Are exit ways (doors, aisles, halls) free of obstacles, trip hazards and combustible storage?
Š Are exits and non exits marked accordingly?
Š Are workstations set up in ergonomically friendly manner?
Š Is paper cutter blade in locked position when not in use?
Š Is there adequate lighting in work areas?
Š Are ladders and step stools in good condition?
Electrical Safety
Š Do extension cords and multiple outlet strips meet the following requirements?
Š Cord less than 9 ft. in length?
Š Plug directly into a wall outlet?
Š Cords not connected to each other, or to multiple outlet strips?
Š Prevented from running through walls, ceilings, and doors?
Š In good condition without damage, splices, or being sharply bent/pinched?
Š Are cord guards provided when cords cross aisles or other passageways?
Š Is clear access (36’ clearance) provided in front of electrical panels?
Š Are electrical cover plates provided on all outlets?
Š Are portable electrical heaters: Only on the floor? Plugged directly into wall? Have a working tip-over switch? Combustibles kept three feet from all sides and tops of heaters?
Bracing and Overhead Storage
Š Are tall furnishings seismically braced? (e.g., file cabinets, bookcases, hutches, etc.)
Š Are screens, blackboards, etc. fastened with a closed hook system or wall-bolted?
Š Is overhead storage of heavy items secured and prevented from falling?
Š Is weight evenly distributed in file cabinets to prevent top heavy condition?
Department/Supervisor________________________Date_______________
Worksite supervisor should file this form. Annual worksite inspections are recommended.
General Safety
Š Has supervisor ensured that all employees received documented safety toolbox training monthly?
Š Has supervisor ensured that all employees attend trainings provided by Safety Coordinator?
Š Has supervisor ensured that a representative of the department attend the safety committee monthly?
Š Has supervisor ensured that new employees attend the New Employee Orientation provided once a month?
Š Are exit ways (doors, aisles, halls) free of obstacles, trip hazards and combustible storage?
Š Are exits and non exits marked accordingly?
Š Are workstations set up in ergonomically friendly manner?
Š Is paper cutter blade in locked position when not in use?
Š Is there adequate lighting in work areas?
Š Are ladders and step stools in good condition?
Electrical Safety
Š Do extension cords and multiple outlet strips meet the following requirements?
Š Cord less than 9 ft. in length?
Š Plug directly into a wall outlet?
Š Cords not connected to each other, or to multiple outlet strips?
Š Prevented from running through walls, ceilings, and doors?
Š In good condition without damage, splices, or being sharply bent/pinched?
Š Are cord guards provided when cords cross aisles or other passageways?
Š Is clear access (36’ clearance) provided in front of electrical panels?
Š Are electrical cover plates provided on all outlets?
Š Are portable electrical heaters: Only on the floor? Plugged directly into wall? Have a working tip-over switch? Combustibles kept three feet from all sides and tops of heaters?
Bracing and Overhead Storage
Š Are tall furnishings seismically braced? (e.g., file cabinets, bookcases, hutches, etc.)
Š Are screens, blackboards, etc. fastened with a closed hook system or wall-bolted?
Š Is overhead storage of heavy items secured and prevented from falling?
Š Is weight evenly distributed in file cabinets to prevent top heavy condition?
