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

  1. 1Walkways and exits clear
  2. 2Floors and surfaces in safe condition
  3. 3Lighting working
  4. 4Doors close and latch as intended
  5. 5Signs and exit markings legible
  6. 6Equipment in the area in safe condition
  7. 7Storage tidy and secure
  8. 8Chemicals stored and labeled as your program requires
  9. 9No new hazards observed
  10. 10General housekeeping acceptable

Type: Exterior · Entrance · Lobby / common area · Corridor · Resident or client area · Office · Kitchen · Laundry · Mechanical room · Storage · Parking · Grounds · Other

DateAreaLocation12345678910ByNotes / 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.

All printable blank forms