SOP 502.01-att-7: Weekly Safety and Sanitation Inspection Form
Summary
Key Topics
- weekly inspection
- safety inspection
- sanitation inspection
- fire safety
- chemical storage
- facility maintenance
- ACA standards
- hazardous materials
- pest control
- restroom cleanliness
- electrical safety
- compliance checklist
Full Text
SOP 502.01
Attachment 7
4/7//22
# Georgia Department of Corrections
Facility_______________
Weekly Safety/Sanitation Form
Week Ending ____________
|NOTE: Return original to Sanitation Supervisor. Copy will be retained by Recreation Director/Supervisor.|Col2|
|---|---|
|This form is used to ensure compliance with the American Correctional Association’s standard relating to
fire safety, sanitation, and control of hazardous or toxic chemicals.|This form is used to ensure compliance with the American Correctional Association’s standard relating to
fire safety, sanitation, and control of hazardous or toxic chemicals.|
|Building: |Inspector:
|
|SAFETY:|Yes|No|NA|
|---|---|---|---|
|1. Are aisle ways clear?||||
|2. Are the fire extinguishers unobstructed, operational & charged?||||
|3. Are all electrical appliances (buffer, etc.) equipped with satisfactory
cords and plugs, no bare wires, no broken cords, etc.?||||
|CHEMICAL STORAGE:||||
|4. Are chemical containers closed?||||
|5. Are containers labeled properly?||||
|6. Are chemical containers leaking?||||
|GENERAL STORAGE:||||
|7. Is there approximately 3’ of clearance between electrical panels and
heat producing equipment?||||
|8. Are the cabinets and drawers cluttered?||||
|9. Is the area cluttered with trash?||||
|MAINTENANCE:||||
|10. Are the doors working properly?||||
|11. Are plumbing fixtures leaking?||||
|12. Are ceiling tiles loose or missing?||||
|13. Are all lights operational?||||
|GENERAL SANITATION:||||
|14. Are the floors clean?||||
|15. Are the baseboards clean?||||
|16. Are the outside/inside walls clean?||||
|17. Is the area free of vermin/pests?||||
|18. Are the vents clean?||||
|19. Are the light fixtures clean?||||
|20. Is area cluttered with trash or other items?||||
|RESTROOM:||||
|21. Are the floors clean?
||||
Retention Schedule: Upon completion, this form shall be maintained for three (3) years and then destroyed.
SOP 502.01
Attachment 7
4/7//22
|22. Are the walls clean?|Col2|Col3|Col4|
|---|---|---|---|
|23. Are the sinks clean?||||
|24. Are the urinals/toilets clean?||||
|25. Is the trash emptied?||||
|26. Are the mop buckets clean?||||
|27. Is the mop sink clean and free from all stains?||||
Retention Schedule: Upon completion, this form shall be maintained for three (3) years and then destroyed.