SAMPLE SAFETY INSPECTION CHECKLIST NAME OF AGENCY/OFFICE: _____________________________________________________________ Area(s) Inspected: _____________________________Inspected by: _______________________Date:____________ ITEM YES NO CORRECTIVE ACTION – DATE 1. Is there litter or spilled liquid on the floor?
44. Are features of fire protection, such as sprinklers, fire alarms and hoses, kept clean and in good working order?
MISCELLANEOUS: 51. Are Safety Inspections conducted in accordance with the time frame specified in the agency’s loss prevention manual?
52. Are Safety Meetings conducted in accordance with the time frame specified in the agency’s loss prevention manual?
Allowed
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Sample Safety Inspection Checklist ORM for fillable PDF 6-23.pdf