Palomar College

Environmental Health and Safety Department

Safety Inspection Checklist

This form is provided by the EH&S Department to aid in self guided inspections of Buildings, Classrooms ,Offices and surrounding areas. The best eyes and ears are those who live and work in a particular area. Thank you for taking the time to participate in this important function. 

Please provide the following contact information:

First Name
Last Name
Title
Department
Supervisor
Extension
E-mail
Building/Area

Status

Faculty
Staff
Other

Date:

-- mm/dd/yy

HOUSEKEEPING:

Exits are clear and free of obstructions

Yes
No

Offices are clean and orderly.

Yes
No

Floors are free from trip hazards.

Yes
No

Electrical panel access is unobstructed.

Yes
No

Unused supplies/materials discarded.

Yes
No

Comments:


Stepstools/ladder are used to access overhead storage.

Yes
No

Extension cords used in lieu of permanent wiring.

Yes
No

Evacuations signs posted.

Yes
No

Material safety data sheets available.

Yes
No

All interior and adjacent exterior switches and sensors are functional.

Yes
No

Ceiling tiles in good repair.

Yes
No

Condition of the floor is good.

Yes
No

General physical condition of room is good.

Yes
No

Steps/stars in good condition.

Yes
No

Carpet is free from rips and tears.

Yes
No

Comments:


All shelves or cabinets over 5' are secured.

Yes
No

All shelfs over five feet are earthquake safe.

Yes
No

Top-heavy equipment secured to withstand earthquake.

Comments:


Yes
No

Multi-exit classrooms have adequate emergency exit signage.

Yes
No

Fire extinguishers are properly mounted, charged and certified.

Yes
No

Fire extinguisher positions are properly marked.

Yes
No

Flammables are stored properly.

Comments:


Yes
No

All electrical equipment properly grounded.

Yes
No

All electrical cords free from fraying and defects.

Yes
No

All electrical equipment in good repair.

Yes
No

Electrical circuits not overloaded.

Yes
No

Electrical outlets are in good condition.

Yes
No

Comments:


Don R. Thompson.
Copyright © 2002Palomar College Environmental Health and Safety. All rights reserved.
Revised: November 13, 2007