Quarterly Building Inspection Form Instructions
            
            General Information
            The quarterly building inspection form is designed to help the person performing the
               inspection identify hazards in the building.Ìý All items that appear on the form may
               not be applicable in your particular building, if this is the case then simply place
               an "x" in the N/A column.Ìý For items that do apply to your building, carefully check
               the items and place an "x" in the YES or NO section as appropriate.Ìý When issues and
               problems are found please be sure to use the comments section of the form to specifically
               identify the problem.Ìý The specific location and a good description of the problem
               are extremely helpful in getting the problem addressed. If a work order has been issued
               to correct the problem, please note the work order number in the comment section.
            For more specific information on what each question in the form is about please see
               the following below:
            Fire Safety and Emergency Equipment
Building and Office Safety
Electrical Safety and Storage Methods
Other Building Safety Issues & Concerns
Ìý
             Fire Safety and Emergency EquipmentÌý
            
               - Are all fire extinguishers in place, fully charged, and checked monthly?
                  
                  
                     - Check all fire extinguishers in the building to make sure that they are there.Ìý Document
                        any missing fire extinguishers in the comments section.
- Check each fire exinguisher to ensure that it is fully charged.Ìý You can do this by
                        viewing the gauge that is on most fire extinguishers.Ìý The needle on the guage should
                        be pointing in the middle of the range.Ìý Please document in the comments if the needle
                        is not in the normal range.
- Check each fire extinguisher to ensure that the fire extinguisher monthly inspection
                        tag is correctly completed.
 
 
 
- Are fire exinguisher inspection tags in place?
                  
                  
                     - Annual Fire Extinguisher Inspection Tag - this tag will state at the top "DO NOT REMOVE
                        BY ORDER OF THE STATE FIRE MARSHAL".Ìý Check the tag to ensure that it has been inspected
                        within the past year.Ìý This inspection must be performed by a licensed contractor.
- Monthly Inspection Tag - check this tag to ensure that building personnel are inspecting
                        fire extinguishers on a monthly basis.
 
 
 
- Is the fire alarm system functioning properly and has it been tested within the past
                  year?
                  
                  
                     - Unless you know of any problems with the fire alarm system then it is probably functioning
                        correctly.Ìý It is not necessary to sound the fire alarm during each building inspection.
- Look near the alarm control panel or on the panel for the inspection tag.Ìý This inspection
                        tag is issued by a licensed contractor and performed annually.Ìý Check to ensure that
                        it is still within date.
- While you are at the alarm control panel look at it and make sure that there are no
                        obvious trouble signals (i.e. trouble lights, visual or audible warnings, etc.)
 
 
 
- Are smoke alarms functioning correctly?
                  
                  
                     - Testing smoke detectors is usually not necessary by the building inspector. Contractors
                        are required to test them annually with the fire alarm inspection. If a building is
                        equipped with smoke detectors and a fire alarm panel, do not test them. Call the campus
                        Safety Officer if fire alarm panel shows a trouble.
- For small buildings with residential smoke detectors but no fire alarm panel, you
                        may test each smoke alarm in the building by pushing the test button on the smoke
                        alarm until the smoke alarm sounds (on some models you have to hold the button in
                        several seconds).Ìý If an alarm does not sound, note what you think the problem is
                        (i.e. no electricity, defective alarm, etc.).Ìý Some buildings do not have smoke alarms,
                        if this is the case check N/A (not applicable).
 
 
 
- Are all exits marked with exit signs and illuminated? (if battery operated, push test
                  button)
 
                     - You can determine this by pushing the test button on the emergency lights.Ìý If the
                        lights come on then they are functioning correctly.Ìý Some buildings do not have emergency
                        lights, if this is the case check N/A (not applicable).
 
 
 
- Are evacuation plans posted near doors?
                  
                  
                     - Each building should have an evacuation plan posted near all doors in the building.
 
 
 
- Are all doors and hallways leading to an exit, free to access with no possibility
                  of being locked in?
                  
                  
                     - Check to make sure that no doors leading to an exit are blocked or locked.Ìý This will
                        impede egress (exit) during an emergency and is not allowed by the fire marshal.Ìý
                        Check for materials blocking the doors.Ìý If doors are locked then appropriate panic
                        hardware must be installed on the door that is locked.Ìý This will allow exit in case
                        of an emergency.
 
 
 
- Are exit routes kept free of obstructions?
                  
                  
                     - Check exit routes to ensure that they are kept clear.Ìý Exit routes include hallways,
                        stairways, entranceways, etc.Ìý Please make sure that boxes, desks, trash cans, etc.
                        are blocking hallways.Ìý This may impede egress in an emergency and is not allowed.
 
 
 
- Do exit doors open outwards? Will fire & exit doors close and latch properly?
                  
                  
                     - All exit doors should open outwards.
- Check fire doors and exit doors to make sure they close and latch properly.Ìý These
                        type of doors should have automatic door closers attached to them.Ìý Check the closers
                        carefully and make sure they are working properly.Ìý Once the door closes ensure that
                        it latches shut properly.Ìý The reason for doing this is in case of a fire the door
                        will isolate that floor from fire and smoke as long as it is closed.Ìý Do not allow
                        anyone to prop these doors open.
 
 
 
- Has a fire / evacuation drill been conducted within the past year?
                  
                  
                     - This requirement is issued by ORM and requires a fire drill in all of our buildings
                        at least once per year.Ìý The fire drill should be documented on the fire drill form.Ìý
                        During the quarterly inspections check your records to ensure that your building is
                        not due for a fire drill.Ìý See the fire drill section of this site for more information
                        before conducting a fire drill.
 
 
 
- Do portable heaters have automatic shut off if tipped over? Are portable heaters operated
                  away from flammable materials?
 
                     - Check rooms and offices of the building to ensure that no portable heaters are present.Ìý
                        If portable heaters are found please note that on the form.Ìý Make sure that the heater
                        conforms to the Portable Heater Policy.Ìý If not, ask the owner of the heater to remove
                        the heater from the building. 
 
 
 
- Are emergency phone numbers posted?
                  
                  
                     - Check phones, especially department office and other public phones to ensure that
                        emergency phone numbers are posted on the phone.Ìý This would include 911 and campus
                        police number x-1911
 
 
 
- Are emergency lights functioning correctly? (test by pushing button)
                  
                  
                     - You can determine this by pushing the test button on the emergency lights.Ìý If the
                        lights come on then they are functioning correctly.Ìý Some buildings do not have emergency
                        lights, if this is the case check N/A (not applicable).
 
 
 
- Are 1st aid kits visible & accessible? Are they stocked? Are expiration dates current?Ìý
                  Ìý Ìý Ìý Ìý Ìý Ìý Ìý Location._______________
                  
                  
                     - Check the first aid kits with in your building.Ìý Make sure that each kit is has an
                        inventory card listing all the supplies. Make sure each kit has been checked monthly.
- Make sure there are no medications (Tylenol, antacids, etc.) in the kits. Burn ointment
                        is acceptable.Ìý
- Make sure that none of the supplies are expired.
 
 
 
- Are BBP spill kits stocked and accessible?
                  
                  
                     - Ensure that the inspection card has been initialled and the lid has not been opened.
 
 
 
- Is there at least 18" clearance for all sprinkler heads?
                  
                  
                     - There cannot be anything stored within 18" of a ceiling on campus.
 
 
 
- Are boxes, paper or other combustible items allowed to accumulate that would present
                  a fire hazard?
Building and Office SafetyÌý
            
               - Are there any slip / trip / fall hazards located inside or outside of the building?
                  
                  
                     - Slips, trips, and falls are the most common types of accidents.Ìý Check the building
                        and the outside areas of the building for any conditions or hazards that might cause
                        slips, trips, and / or falls.
 
 
 
- In areas that stay wet, greasy, or slippery are floor mats or other anti-slip material
                  used?
                  
                  
                     - Note any areas that are wet, greasy, or otherwise slippery.Ìý These areas should have
                        floor mats or other anti-slip material.Ìý Common problem areas include:Ìý entranceways,
                        halls, and stairs (due to wet weather), kitchen & food preparation areas (due to grease),
                        maintenance areas (due to oil & other fluids), etc.
 
 
 
- Are service holes, man holes, drains, etc. properly covered?
                  
                  
                     - Look at the outside grounds of the building and make sure that all drains, service
                        holes, man holes, etc. are properly covered to keep pedestrians from accidentally
                        stepping into these holes.
 
 
 
- Is the building well lit, inside and outside?
                  
                  
                     - Check the building lights carefully to determine if any bulbs need replacing.Ìý Lights
                        inside and outside of the building should be checked.
 
 
 
- Is housekeeping in the building adequate?
                  
                  
                     - Check to make sure that the housekeeping in the building is adequate.Ìý Building should
                        be cleaned regularly, material should be stored in proper locations, garbage emptied
                        regularly, areas free of debris and clutter, etc.
 
 
 
- Are floors in good condition with no loose or broken flooring?
                  
                  
                     - Check floors carefully to make sure that flooring is in good condition with no loose
                        or broken flooring.
 
 
 
- Are stairways in good condition with handrails in place?Ìý Are stair treads in good
                  condition?
                  
                  
                     - Check all building stairways, check for loose handrails, and check to make sure stair
                        treads are in good condition (i.e. there is still tread, it is not breaking loose,
                        etc.)
 
 
 
- Does the building have any pest problems?
                  
                  
                     - Please list any pest problems in your building.Ìý Be specific as possible.Ìý Also note
                        the last time the building was treated for pests if known.
 
 
 
- Are all ceiling tiles in place and in good condition throughout the building?
                  
                  
                     - Check all ceiling tiles and report any broken or damaged tiles on the inspection report.
                        
 
 
 
- Is the building secure?Ìý Are all outside doors locked at the end of each day?Ìý Are
                  all locks and other security devices working properly?
                  
                  
                     - Check to make sure that all outside doors are locked at the end of each day.Ìý Also
                        check each door in the building to make sure that locks and other security devices
                        are functioning properly.
 
 
 
- If equipped, is the security system for the building working properly?
                  
                  
                     - Report any problems or issues with the security system if your building has one.Ìý
                        If your building does not have a security system, mark this item N/A.
 
 
 
- Are all maintenance and mechanical areas secure?
                  
                  
                     - Check all maintenance & mechanical areas (boiler room, air handler, sprinkler room,
                        etc.) and make sure they are locked except when authorized personnel are in these
                        areas.
 
 
 
- Are all custodial areas in good condition?Ìý Are all chemicals stored properly with
                  no overstocking?Ìý Is this area secure?
                  
                  
                     - Check the custodial areas to make sure that they are well kept.Ìý No excess chemicals
                        should be stored, only what is needed.Ìý Make sure the area is secure and that only
                        authorized personnel can access these areas.
 
 
 
- Do any windows have broken panes?ÌýÌý
                  
                  
                     - Check all windows in the building to make sure that none of the panes or glass is
                        broken or cracked.
 
 
 
- Are all elevators working correctly?Ìý Are elevators equipped with an emergency phone?
                  
                  
                     - Check each elevator in the building to make sure it is working correctly.Ìý Check to
                        make sure that on each floor the elevator is stopping level.Ìý Make sure that the all
                        of the elevator buttons function correctly.Ìý For elevators operated by keys check
                        to see if the key hole can be turned by any key.Ìý Check each elevator to make sure
                        that it has an emergency phone and that this phone is working properly.
 
 
 
- Is the parking lot in good condition?
                  
                  
                     - Check the parking lot to make sure that no major potholes are present.Ìý Check to make
                        sure parking lines are visible, handicapped spaces are marked, etc.
 
 
 
- Are there any water leaks in the building?
                  
                  
                     - Note the exact location of any water leaks in the building.Ìý When looking for leaks
                        look for wet ceiling tiles, wet walls, areas of mold & mildew, etc.
 
 
 
- Are all plumbing systems working properly?
                  
                  
                     - Note any plumbing problems in the building (i.e. clogged drains, flushing problems,
                        drain leaks, potable water leaks, sink leaks, etc.
 
 
 
- Check that any hazardous materials in the building are stored properly.Ìý
 
 
- Check the safety bulletin board to ensure the following are posted:Ìý safety rules,
                  president's policy statement, asbestos notice, natural gas notice, emergency numbers,
                  whistleblower protection.
 
 
- Do employees stand on chairs/desks instead of approved ladders/stepstools?
 Electrical Safety and Storage Methods
            
               - Are all breaker boxes labeled correctly? Are empty breaker slots covered? Are the
                  doors closed?
 
                     - Check to make sure that each breaker in the box is properly labeled as to its function.
- Make sure that any empty slots in the breaker box are covered with metal inserts
- Make sure the box doors close and latch properly.
 
 
 
- 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 to make sure extension cords are properly grounded (look for the three prong
                        plugs on each end with the third plug made for grounding purposes)
- Is the extension cord adequately sized for the current being drawn?Ìý This will depend
                        on what the extension cord is powering.Ìý Question extension cords that are powering
                        many devices or large electrical devices.Ìý In these scenarios you may want to consult
                        an electrician to determine if the electrical load is too great for the extension
                        cord.Ìý Feel the cord and see if it is hot, this is an indication that the cord is
                        overloaded.
- Check the cords for damage, make sure the insulation is intact, the cord has not been
                        melted, cut, or frayed in any way.
- Check to ensure that the cords are placed in a manner to prevent tripping.Ìý Cords
                        should be out of heavy traffic areas and may need to be taped or secured to the floor
                        to prevent tripping.Ìý Rubber cord guards can also be used.
 
 
 
- Are there any surge protectors plugged into other surge protectors?
                  
                  
                     - Only one surge protector allowed per outlet.
 
 
 
- Are there any exposed wires, frayed cords or wires, torn or frayed insulation, loose
                  or broken conduit, etc.?
                  
                  
                     - Check the building completely and report any of the conditions listed above.Ìý Any
                        exposed wiring, torn wiring, broken conduit, torn or frayed insulation can present
                        significant hazards.
 
 
 
- Check extension cords: are they damaged in any way?
 
 
- Are junction boxes, outlets, switches, fittings, etc., covered an in good condition?
                  
                  
                     - Check all outlets, switches, boxes, fittings, etc. and make sure that covers are in
                        place and in good condition.Ìý Report any and all missing or damaged covers.Ìý
 
 
 
- Are storage areas neat? Are items stacked properly? Are heavier items stored below
                  shoulder height?
 
                     - All storage areas shall be neat and clean. All stacked items shall be stable and self-supporting.
 
 
 
- Do top shelves have overhang?
 
                     - Nothing can hang out past the edge of a shelf
 
 
 
- 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/orÌýcontainers?
 
 
- Are compressed gas tanks (oxygen and/or acetylene) secured properly?
 
                     - All compressed gas cylinders must be securely fastened to the wall or solid structure
                        such as cart.
 
 Other Building Safety Issues and Concerns Noted by the Inspector
            While conducting these inspections there will be many instances when you see something
               that you think is unsafe but it is not on this inspection form.Ìý Just because it is
               not a question on the inspection form does not mean it is not important.Ìý This section
               of the form is intended to note such items.Ìý List the item (specific location if applicable)
               and in the comments portion list the issue or problem.Ìý If it is necessary you can
               continue on the back of the form or on a separate sheet of paper.