Environmental Health & Safety

Monthly Building Safety Inspections

Enter building name and month and year for date of inspection, place a check in the box to verify inspection statement; enter remedial action as needed.

Exits Lights - Exits lights are checked to verify they are lit

Building Date of Inspection (MM/YY) Verify Inspection Statement Remedial Action
       
       
       
       
       
       
       
       
       

Emergency Lights - Emergency lights are tested to verify they will turn on without electricity

Building Date of Inspection (MM/YY) Verify Inspection Statement Remedial Action
       
       
       
       
       
       
       
       
       

Fire Extinguishers - Fire extinguisher inspection is verifying the hose is in good condition, the pin is in place, Annual Inspection Tag is current, proper mounting, sign in place, unobstructed access and pressure is in the green area. Enter OK and sign monthly inspection tag.

Building or # Date of Inspection (MM/YY) Verify Inspection Statement Remedial Action
       
       
       
       
       
       
       
       
       

All electrical panels are unobstructed with a 30" clearance, closed and latched, have switches labeled.

Building Date of Inspection (MM/YY) Verify Inspection Statement Remedial Action
       
       
       
       
       
       
       
       
       
  Remedial Action
All exit doors are unobstructed  
All stairways are unobstructed  
All fire doors are unobstructed, not chocked open and are working properly  

Inspector's signature:  ______________________________________

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