Building Inspection Form

Quarterly/Monthly Building Inspection Form
Date:
Building:
Inspector's Name:
FIRE SAFETY AND EMERGENCY EQUIPMENT
Item
1
Are all fire extinguishers visible & accessible? Are they

fully charged? (check for needle in the green) Is the pin in
place & secure?
Are fire extinguisher tags in place and less than one year
old? (check punched date for year & month)
Is the fire alarm system functioning properly and has it

been tested within the past year? (look for green
inspection tag by alarm control panel)
Are smoke alarms functioning correctly? (test each alarm,

push test button)
Are all exits marked with exit signs and illuminated? (if
battery operated, push test button)
Are evacuation plans posted near doors?
Are all doors and hallways leading to an exit, free to

access with no possibility of being locked in?
Are exit routes kept free of obstructions?
Do exit doors open outwards? Will fire & exit doors close
and latch properly?
10
Has a fire / evacuation drill been conducted within the past

year?
11
Do portable heaters have automatic shut off if tipped over?

Are portable heaters operated away from flammable
materials?
12
Are emergency phone numbers posted? (ex: security, fire,

ambulance)
13
Are emergency lights functioning correctly?
14
Are 1st aid kits visible & accessible? Are they stocked?
Are expiration dates current?
15
Are BBP spill kits stocked and accessible?
16
Is there at least 18" clearance for all sprinkler heads?
17
Are boxes, paper or other combustible items allowed to

accumulate that would present a fire hazard?
Yes
No
Page 1
N/A
Comments

BUILDING AND OFFICE SAFETY
Item
1
Are there any slip / trip / fall hazards located inside or

outside of the building?
In areas that may be wet, greasy or slippery are floor mats

or other anti-slip material used and in good condition?
Are service holes, man holes, drains, etc. properly

covered?
Is the building well lit, inside & outside?
Are floors in good condition with no loose or broken

flooring?
Are stairways in good condition with handrails in place?

Are stair treads in good condition?
Does the building have any pest problems?
Are all ceiling tiles in place and in good condition

throughout the building?
Is the building secure? Are all outside doors locked at the

end of each day? Are all locks and other security devices
functioning properly?
10
If equipped, is the security system for the building working

properly?
11
Are all maintenance and mechanical areas secure? (i.e.

boiler rooms, air handlers)
12
Do any windows have broken panes?
13
Are all elevators working correctly? Are elevators

equipped with an emergency phone?
14
Is the parking lot in good condition? (i.e. no potholes,

parking lines visible, etc.)
15
Are there any water leaks in the building? Note exact

location of leaks if it can be determined.
16
Are all plumbing systems working properly? (toilet flushing

problems, drainage problems, leaks from faucets, pipes,
etc.)
17
Are safety rules posted?
18
Do employees stand on chairs/desks instead of approved

ladders/stepstools?
19
Are hazardous materials stored properly if authorized in

area?
20
Are there any unauthorized hazardous materials in area?
21
Conduct and document regular testing of the eyewash

stations.
22
Implement air flow testing of its fume hoods in classrooms.
Yes
No
Page 2
N/A
Comments

ELECTRICAL SAFETY AND STORAGE METHODS
Item
1
Are all breaker boxes labeled correctly? Are empty breaker

slots covered? Are the doors closed?
Do panel boxes have any hot spots? If so, note location of

hot spot & which panel box.
Check extension cords: are they properly grounded and

adequately sized for the current being drawn? Are they
placed in a manner to prevent tripping?
Check extension cords: are they damaged in any way?
Are outlets & switches covered properly?
Are storage areas neat? Are items stacked properly?

Are heavier items stored below shoulder height?
Do top shelves have overhang?
Are all custodial areas in good condition? Are chemicals

stored in appropriate container? Is this area secure?
Are flammable items stored in proper cabinets and/or

containers?
10
Are oxygen and/or acetylene tanks secured properly?
Yes
No
N/A
Comments
Other Building Safety Issues & Concerns Noted by the Inspector

Item
Comments
Upon completion send a copy to the Safety Representative and keep a copy for your file. Any hazards found shall be
reported to the Safety Representative for corrections and/or follow-up.
Inspector's Signature
Date
Page 3

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Quarterly/Monthly Building Inspection Form

Are all fire extinguishers visible & accessible? Are they

Is the fire alarm system functioning properly and has it

Are smoke alarms functioning correctly? (test each alarm,

Are evacuation plans posted near doors?

Are all doors and hallways leading to an exit, free to

Are exit routes kept free of obstructions?

Has a fire / evacuation drill been conducted within the past

Do portable heaters have automatic shut off if tipped over?

Are emergency phone numbers posted? (ex: security, fire,

Are emergency lights functioning correctly?

Are BBP spill kits stocked and accessible?

Is there at least 18" clearance for all sprinkler heads?

Are boxes, paper or other combustible items allowed to

Quarterly/Monthly Building Inspection Form

Are there any slip / trip / fall hazards located inside or

In areas that may be wet, greasy or slippery are floor mats

Are service holes, man holes, drains, etc. properly

Is the building well lit, inside & outside?

Are floors in good condition with no loose or broken

Are stairways in good condition with handrails in place?

Does the building have any pest problems?

Are all ceiling tiles in place and in good condition

Is the building secure? Are all outside doors locked at the

If equipped, is the security system for the building working

Are all maintenance and mechanical areas secure? (i.e.

Do any windows have broken panes?

Are all elevators working correctly? Are elevators

Is the parking lot in good condition? (i.e. no potholes,

Are there any water leaks in the building? Note exact

Are all plumbing systems working properly? (toilet flushing

Are safety rules posted?

Do employees stand on chairs/desks instead of approved

Are hazardous materials stored properly if authorized in

Are there any unauthorized hazardous materials in area?

Conduct and document regular testing of the eyewash

Implement air flow testing of its fume hoods in classrooms.

Quarterly/Monthly Building Inspection Form

Are all breaker boxes labeled correctly? Are empty breaker

Do panel boxes have any hot spots? If so, note location of

Check extension cords: are they properly grounded and

Check extension cords: are they damaged in any way?

Are outlets & switches covered properly?

Are storage areas neat? Are items stacked properly?

Do top shelves have overhang?

Are all custodial areas in good condition? Are chemicals

Are flammable items stored in proper cabinets and/or

Are oxygen and/or acetylene tanks secured properly?

Other Building Safety Issues & Concerns Noted by the Inspector

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