SOP_NUMBER: 502.01-att-7
TITLE: Weekly Safety and Sanitation Inspection Form
DIVISION: Inmate Services
TOPIC_AREA: 502 Policy-Recreation Services
EFFECTIVE_DATE: 2022-04-07
WORD_COUNT: 294
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/178947
URL: https://gps.press/sop-data/502.01-att-7/

SUMMARY:
This is an inspection form used by Georgia Department of Corrections facilities to document weekly compliance with safety, sanitation, and chemical storage standards established by the American Correctional Association. The form covers fire safety, electrical safety, chemical storage, general storage and maintenance, sanitation conditions, and restroom cleanliness. Facilities must complete this form weekly, with the original submitted to the Sanitation Supervisor and a copy retained by the Recreation Director/Supervisor for three years.

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

ATTACHMENTS:
  1. Georgia Department of Corrections Recreation Equipment Master Inventory Sheet
     URL: https://gps.press/sop-data/502.01-att-1/
  2. Recreation Aide Job Description & Responsibilities
     URL: https://gps.press/sop-data/502.01-att-2/
  3. Attachment 3 - Monthly Recreation Report
     URL: https://gps.press/sop-data/502.01-att-3/
  4. Recreation Aide Work Sign-In Sheet
     URL: https://gps.press/sop-data/502.01-att-4/
  5. Recreation Services - Orientation Presentation Template
     URL: https://gps.press/sop-data/502.01-att-5/
  6. Leisure Activity Survey
     URL: https://gps.press/sop-data/502.01-att-6/
  7. Weekly Safety and Sanitation Inspection Form
     URL: https://gps.press/sop-data/502.01-att-7/
  8. Recreation Maintenance Work Request
     URL: https://gps.press/sop-data/502.01-att-8/
  9. Georgia Department of Corrections Recreation Program Visiting Volunteer Waiver of Liability
     URL: https://gps.press/sop-data/502.01-att-9/

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FULL TEXT:
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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<br>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<br>fire safety, sanitation, and control of hazardous or toxic chemicals.|
|**Building: **|**Inspector: **<br>|


|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<br>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<br>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?<br> <br>||||



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.