PUBLIC FACILITIES MONTHLY INSPECTION

Inspector ______Facility ______Date ______

GROUNDS

Yes / No / N/A / Comments
1. Do parking lots have cracks, holes, or tripping hazards?
2. Are sidewalks free of uneven surfaces, cracks, or tripping hazards?
3. Are steps in good condition and railings stable?
4. Are there visible markings for parking and walkways?
5. Are the curbs in good condition?
6. Are signs in good condition?
7. Are there ample drains for water removal?

ENTRANCE AREA

Yes / No / N/A / Comments
1. Are ramps in good repair and coated with a nonskid surface?
2. Is the lighting adequate?
3. Are nonslip surfaces provided: mats, etc.?

FIRE PROTECTION

Yes / No / N/A / Comments
1. Are fire extinguishers mounted and accessible?
2. Are fire extinguishers charged and inspected?
3. Are smoke detectors and sprinkler systems inspected?
4. Are approved safety cans used for storage and handling of flammable materials?
5. Are exits unobstructed and do all exit doors open out?
6. Are exit signs lighted?
7. Are fire hoses properly hung up?

Revised January, 2011

HOUSEKEEPING

Yes / No / N/A / Comments
1. Are floors and aisles free of debris?
2. Are wet or slippery floor hazards identified?
3. Are stair steps slip resistant and handrails secure?
4. Do floors have cracks, uneven surfaces, or trip hazards?
5. Is trash allowed to accumulate?
6. Do aisles, stairs, and rooms have proper lighting?
7. Are facilities clean and provide hot and cold water and soap?

ELECTRICAL

Yes / No / N/A / Comments
1. Are space heaters properly approved?
2. Are extension cords cracked or frayed?
3. Do electrical cords present a trip hazard?
4. Is all electrical equipment properly grounded?
5. Is electrical wiring exposed?
6. Are all electrical outlets free of cracks or chips?

FIRST AID

Yes / No / N/A / Comments
1. Are first aid kids available?
2. Are first aid supplies and materials replenished when used and per manufacturers recommendations?

GENERAL

Yes / No / N/A / Comments
1. Are elevation differences of floors properly marked?

Revised January, 2011