Appliance Security Inspection Checklist
Complete this checklist to document the security and safety inspection of appliances.
Inspector Full Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Appliance Type
*
Please Select
Refrigerator
Washing Machine
Dryer
Dishwasher
Oven/Stove
Microwave
Other
Model/Serial Number
*
Location of Appliance
*
Inspection Checklist
*
Rows
Pass
Fail
N/A
Power cord and plug in good condition
1
2
3
Appliance properly grounded
4
5
6
No signs of overheating or burning
7
8
9
Safety guards/covers in place
10
11
12
No water leaks or moisture present
13
14
15
Controls and switches operate properly
16
17
18
Warning labels/stickers visible
19
20
21
No unusual noise or vibration
22
23
24
Emergency shut-off accessible
25
26
27
General cleanliness
28
29
30
Are any safety issues detected during inspection?
*
No issues detected
Yes, issues detected
If issues were detected, please describe them:
Recommended corrective actions (if any):
Overall inspection result
*
Pass
Fail
Inspector Signature
*
Submit Inspection
Submit Inspection
Should be Empty: