Common Area Inspection Form
Checklist for Inspecting the Office/Workplace Common Areas
Office/workplace location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency
Rows
Yes
No
Comments
Are emergency site plans displayed and oriented to their
position?
1
2
Are all fire exits accessible, not blocked & uncluttered?
3
4
Is fire equipment accessible & unobstructed?
5
6
Are emergency exit lights functional?
7
8
Has fire equipment been serviced within the last 6 months?
9
10
Can emergency signals and alarms be clearly heard?
11
12
Are the names and details of office/floor wardens and emergency procedures displayed?
13
14
Staff Amenities
Rows
Yes
No
Comments
Are staff toilets and bathroom facilities in good condition?
15
16
Are toilets and bathroom facilities cleaned regularly?
17
18
Is kitchen equipment in good working order?
19
20
Are hot water taps appropriately marked?
21
22
Are surfaces in bathrooms and kitchen areas slip-free?
23
24
Do kitchens contain fire extinguishers that are serviceable and accessible?
25
26
Are microwaves, refrigerators, etc., cleaned regularly to reduce risks of infection and fire?
27
28
Floors, Aisles, Stairs & Landing
Rows
Yes
No
Comments
Are all walkways free from cords, trip hazards and rubbish?
29
30
Are all entrances/exits and doorways kept clear?
31
32
Are all floors safe and not slippery?
33
34
Are paths, corridors and floor coverings in good state of
repair?
35
36
Are slip resistant strips on edge (nosing) of steps in place?
37
38
Are handrails present and in good condition?
39
40
Electrical
Rows
Yes
No
Comments
Are power points, power boards, and cords free of visible
damage, and not overloaded?
41
42
Are there an adequate number of power points?
43
44
Are power points and light switches not damaged and in
good working condition?
45
46
Are electrical appliances free from visible damage and in
good working order?
47
48
Are all electrical items marked either “New to Service” or
have been tested, tagged and in date?
49
50
General
Rows
Yes
No
Comments
Are the lights working and is the lighting adequate for work being performed?
51
52
Are windows and doors in good working condition?
53
54
Is there adequate ventilation?
55
56
Are desks and chairs suitable for the occupant?
57
58
Are ceilings in good condition and intact?
59
60
Are suitable and sufficient facilities provided for storage?
61
62
Are materials and equipment stored safely?
63
64
If kitchen facilities present, are appliances free of damage, tidy and hygienic?
65
66
Are work areas clean and tidy?
67
68
Inspector name
First Name
Last Name
69
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of inspection
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
Submit
Should be Empty: