Facility Inspection Checklist

Facility Inspection Checklist
Inspector*
Email
example@example.com
Location
Date*

MonthDayYear
Date
This inspection checklist monitors the compliance activities at the facility. It also serves as a hazard assessment to current activities. The inspection shall be completed in all areas of the facility, including warehouse and office areas as it is applicable. Issues shall be summarized on the last page. Corrections will be made and documented completion date on the summary page. All corrections are expected to be completed in a timely manner.
REVIEW OF PRIOR CORRECTIONS:
YESNON/A
COMMENTS:
YESNON/A
COMMENTS:
** If issues are recurring a corrective action must be opened. **

EMERGENCY LIGHTING:
YESNON/A
COMMENTS:
YESNON/A
COMMENTS:

EYEWASH
YESNON/A
COMMENTS:
YESNON/A
COMMENTS:

FORKLIFTS
YESNON/A
COMMENTS:
YESNON/A
COMMENTS:
YESNON/A
COMMENTS:
Is there anything else relating to forklifts that needs attention at this time?

SECURITY
YESNON/A
COMMENTS:
YESNON/A
COMMENTS:
YESNON/A
COMMENTS:
Are there any other security issues to be addressed?

Date of Review:

MonthDayYear
Date
Mgmt Reviewer:
Unsafe condition or work practice: blanks
Person Assigned:
   First Name   Last Name
Corrective Actions:
Type a label
Due Dates:
Date
Resolution Date:
Date
Unsafe condition or work practice: blanks
Person Assigned:
   First Name   Last Name
Corrective Actions:
Type a label
Due Dates:
Date
Resolution Date:
Date
Unsafe condition or work practice: blanks
Person Assigned:
   First Name   Last Name
Corrective Actions:
Type a label
Due Dates:
Date
Resolution Date:
Date
Unsafe condition or work practice: blanks
Person Assigned:
   First Name   Last Name
Corrective Actions:
Type a label
Due Dates:
Date
Resolution Date:
Date
Unsafe condition or work practice: blanks
Person Assigned:
   First Name   Last Name
Corrective Actions:
Type a label
Due Dates:
Date
Resolution Date:
Date
Unsafe condition or work practice: blanks
Person Assigned:
   First Name   Last Name
Corrective Actions:
Type a label
Due Dates:
Date
Resolution Date:
Date
Unsafe condition or work practice: blanks
Person Assigned:
   First Name   Last Name
Corrective Actions:
Type a label
Due Dates:
Date
Resolution Date:
Date

Should be Empty: