Alberta School of Business PLANNED INSPECTIONS:
Instructions: Obtain a copy of the previous inspection report in order to verify that actions have been completed. Complete the inspection and note deficiencies by checking the “no” box. There must be an associated documented action for every noted deficiency. Identified actions from this inspection are to be noted in the Action Log at the end of each section.  Make sure that noted Action Log items have enough detail to identify the nature of the hazard, its location and the action to be taken.

If you take immediate action to correct a hazard during the inspection please note "HAZARD CORRECTED" in the Action Log.
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Email *
Building, Floor (and Room if applicable) *
Date: *
MM
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DD
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YYYY
Inspected By: *
1. OFFICES
List Office numbers *
Yes
No
N/A
Work area is kept clean and free from hazards causing slips or trips
Work areas are adequately lit
Stored and stacked material is stable and secure
The top of stored materials is at least 457 mm (18") from a sprinkler head
Large and heavy objects stored on lower shelves
Storage shelves overloaded
Shelves securely fastened to the wall
Wall and ceiling fixtures fastened securely
Extension cords used extensively
Extension cords or telephone cords pose a tripping hazard
Paper and waste properly disposed of
Furniture is in good condition
Desk drawers and file drawers kept closed when not in use
Materials overstacked on desks or cabinets
Accessories stored appropriately
File cabinet drawers overloaded
File cabinets loaded with the heaviest items in the bottom drawer
Filing stools or wastebaskets placed where they might be tripping hazards
Does the occupant have a need for an ergonomics assesstment
OFFICES - ACTION LOG (please describe the nature of each hazard, its location and the action taken or to be taken)
2. KITCHEN
*
Yes
No
N/A
Food prep areas clean
There is no storage on top of the fridge and counters are clear of unnecessary items
Refridgerator glass shelves free from cracks, chips, sharp edges, other defects
Measures in place to prevent the spread of disease (hand santizer, soap dispenser)
Food wastes are disposed of properly
KITCHEN - ACTION LOG (please describe the nature of each hazard, its location and the action taken or to be taken)
3. WASHROOMS
*
Yes
No
N/A
Washroom areas clean
The toilets provided adequate
Any noticable plumbing leaks
The taps provided adequate
Papertowel dispensers in working order
Soap dispensers in working order
Area is free from hazards causing slips or trips
WASHROOMS - ACTION LOG (please describe the nature of each hazard, its location and the action taken or to be taken)
WORK PRACTICE/HOUSEKEEPING - ACTION LOG (please describe the nature of each hazard, its location and the action taken or to be taken)
4. EQUIPMENT
(photo copiers, printers, fax machines, paper shredders, paper cutters, etc.)
*
Yes
No
N/A
Equipment is in safe operating condition
Equipment is guarded to prevent access to dangerous moving parts and electricity
General Office is aware of defective equipment
EQUIPMENT - ACTION LOG (please describe the nature of each hazard, its location and the action taken or to be taken)
5. ELECTRICAL
(photo copiers, printers, fax machines, paper shredders, paper cutters, etc.)
*
Yes
No
N/A
Electrically powered equipment is in good repair, grounded (3 prong plug), and not stored directly on the floor
Electrical cords and plugs in good condition
Permanent wiring is used instead of extension cords
Access to electrical panels is unobstructed
ELECTRICAL - ACTION LOG (please describe the nature of each hazard, its location and the action taken or to be taken)
6. STAIRS, WALKWAYS, COMMON AREAS
*
Yes
No
N/A
Stairs and handrails in good condition
Stairwells are clear (no posters, or obstructions of any kind)
Stairwells well lighted
Any dark areas
Walkways and floors are undamaged and free of slip or trip hazards
Extension cords used extensively
Extension cords or telephone cords pose a tripping hazard
Drinkable water stations available
Bulletin boards are clean and readable
Any items interfere with people walking by
Floors slippery, oily or wet
Food wastes are disposed of properly
STAIRS, WALKWAYS, COMMON AREAS - ACTION LOG (please describe the nature of each hazard, its location and the action taken or to be taken)
7. CHEMICAL SAFETY
(cleaning products, unknowen substances)
*
Yes
No
N/A
Unnecessary, unused or outdated materials are disposed of
Containers of cleaning chemicals are free from damage, tightly closed and labelled legibly
CHEMICAL SAFETY - ACTION LOG (please describe the nature of each hazard, its location, and the action is taken or to be taken)
8. PERSONAL PROTECTIVE EQUIPMENT (PPE)
(Respiritory protection, eye protection, hearing and hand protection)
*
Yes
No
N/A
Personal protective equipment appropriate for hazards is available where needed
PPE - ACTION LOG (please describe the nature of each hazard, its location and the action taken or to be taken)
9. BUILDING EXTERIOR
Check the following Structures to ensure safety
*
Yes
No
N/A
The immediate exterior area is free from hazard (walkways and stairs in good condition, exits clear, etc.)
Delivery vehicles are not left running near entrances or building ventilation inlets
Doors are operational
Automatic door openers for handicap operational
BUILDING EXTERIOR - ACTION LOG (please describe the nature of each hazard, its location and the action taken or to be taken)
10. EMERGENCY PREPAREDNESS
*
Yes
No
N/A
Aisles and exits free from obstruction
Emergency equipment free from obstruction (AEDs, etc.)
Self-closers on fire doors operational
Fire extinguishers are charged, mounted on the wall, and serviced annually (check a few extinguishers and their tags)
First Aid Kits are stocked and up-to-date, and is accompanied by a list of up-to-date First-Aiders
EMERGENCY PREPAREDNESS - ACTION LOG (please describe the nature of each hazard, its location and the action taken or to be taken)
11. OTHER HAZARDS OBSERVED & ACTION LOG (please describe the nature of each additional hazard, its location and the action taken or to be taken)
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