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Site-based inspection form |
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| Hallways, Stairwells, and Common areas | |
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Yes |
No |
N/A |
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| Ceiling (fixtures, plaster, etc.) in good repair? | |||
| Objects hanging from light fixtures? | |||
| All light bulbs functioning? | |||
| Corridors obstructed (tables, desks, etc.)? | |||
| Covers present on breaker panel? | |||
| Breaker panel locked? | |||
| Stairways obstructed (furniture, storage, etc.)? | |||
| All extinguishers charged and inspection tag signed monthly? | |||
| Fire exit sign illuminated? | |||
| Fire exits clear and doors closing and latching properly? | |||
| General cleanliness satisfactory? | |||
| Area free from litter? |
Hallways, Stairwells, and Common areas: Comments or concerns
Use this area to indicate specific room numbers, areas, etc. that may require
attention.
| ____________________________________________________________ | |
| ____________________________________________________________ | |
| ____________________________________________________________ | |
| ____________________________________________________________ | |
| ____________________________________________________________ | |
| ____________________________________________________________ | |
| *** |
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| ______________________ | _______________________ |
| WSH Representative |
Principal or Building Manager |
| ______________________ | ______________________ |
| Date | Date |
| Hallways, stairwells, and common areas: page 1 of 1 | |
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Safety First! |
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