Site-based inspection form
The Winnipeg School Division No. 1
  

Boiler Room, Crawl Space(s)

Note: Consult with custodian or other professional in area as required.
  

Yes

No

N/A

Ceiling (fixtures, plaster, etc.) in good repair?
Objects hanging from light fixtures?
All light bulbs functioning?
Fire exit route clearly posted?
Covers present on breaker panel?
Breaker panel locked?
Eye wash visible, accessible and functional?
Combustibles kept near heat sources?
Extension cords used as fixed/permanent wiring?
Area free from litter?
General cleanliness satisfactory?
ALL Materials labelled and stored properly, as per WHMIS requirements?
HVAC (Heating, Ventilation, and Air Conditioning) system      
   Air filters clean?      
   Fresh air intake free of debris?      

 

   
Boiler room, crawl space(s): page 1 of 2
   

Safety First!

Page 2


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