Makerspace Routine Assessment
Please complete this form to assess the current state of the makerspace, equipment, and safety protocols.
Assessor Name
*
First Name
Last Name
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Role or Department
*
Please Select
Staff
Student
Faculty
External Member
Other
General Cleanliness of the Makerspace
*
1
2
3
4
5
Equipment Condition Assessment
*
Rows
Excellent
Good
Needs Maintenance
Out of Order
3D Printers
1
2
3
4
Laser Cutter
5
6
7
8
CNC Machine
9
10
11
12
Soldering Station
13
14
15
16
Hand Tools
17
18
19
20
Are all safety protocols being followed?
*
Yes
No
Partially
First Aid Kit Status
*
Fully Stocked
Partially Stocked
Needs Restocking
Are there any hazards or safety concerns?
*
None observed
Spills or wet floors
Blocked exits
Improper storage of materials
Other (please specify)
Were any incidents or near misses observed during this assessment?
*
No
Yes (please describe below)
Comments or Suggestions for Improvements
Submit Assessment
Should be Empty: