Printable facility safety round
Record each area on a round.
Print this and fill it in by hand. Nothing is saved and nothing is sent — this page keeps no record of anything.
Facility safety round
Blank form · complimaint.com
Facility
Building / area
Month & year
Completed by
- 1Walkways and exits clear
- 2Floors and surfaces in safe condition
- 3Lighting working
- 4Doors close and latch as intended
- 5Signs and exit markings legible
- 6Equipment in the area in safe condition
- 7Storage tidy and secure
- 8Chemicals stored and labeled as your program requires
- 9No new hazards observed
- 10General housekeeping acceptable
Type: Exterior · Entrance · Lobby / common area · Corridor · Resident or client area · Office · Kitchen · Laundry · Mechanical room · Storage · Parking · Grounds · Other
| Date | Area | Location | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | By | Notes / action taken |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mark each numbered column P (pass), N (needs attention) or — (not applicable). Anything marked N belongs in the notes column with what was done about it.
A blank form to fill in by hand. It records what you observed. It does not state how often you are required to do this, and it does not decide whether a reading or a finding is acceptable — those come from your own policy, your equipment manufacturer, and the authority having jurisdiction.
What the interactive version adds
Keeps the history and files the record against your facility.
Facility Safety Rounds Checklist — free, no signup, and it stays on your device like everything else here.
What is on this sheet
Before the first row the sheet asks for facility, building / area, month & year, and completed by — the four or five facts that make a loose page findable a year later, when the question is not what the reading was but which building and which month it came from.
The grid is 20 rows, each one area, walked against every question. What it asks for that no other form here asks for is area; the rest — date, location, by, and notes / action taken — is the same on every blank form in this catalog, because those are the columns that make a row attributable.
The numbered columns are not headings but a legend: 10 questions asked of every area, printed once above the grid and numbered to match, which is the only way 10 of them fit across a page. They are walkways and exits clear, floors and surfaces in safe condition, lighting working, doors close and latch as intended, signs and exit markings legible, equipment in the area in safe condition, storage tidy and secure, chemicals stored and labeled as your program requires, no new hazards observed, and general housekeeping acceptable.
The type legend prints exterior, entrance, lobby / common area, corridor, resident or client area, office, kitchen, laundry, mechanical room, storage, parking, grounds, and other, so a row can say what kind of thing it is without a second column for it.
A completed sheet is a record of an inspection: your areas, your questions, one dated sheet per round. It is a record of what somebody observed and nothing more. It does not say how often you are required to do this, and it does not decide whether a reading or a finding is acceptable — those come from your own policy, your equipment manufacturer, and the authority having jurisdiction.