Children’s Division Office Safety Checklist

Department:	Division:	Circuit:	County/Office Building:
Address:
Date of Inspection:	COA - Council on Accreditation DSS – Administration Policy Manual CWM - Child Welfare Manual OA Handbook – Office of Administration Handbook OA BLDG - Office of Administration Building Rules and Information
Inspection Personnel:
Condition	Yes	No	N/A	Reference Resources	Comments/Concerns
Fire extinguishers – up to date, tagged, accessible	COA - PA-ASE 4 CWM - SEC 8 CH 5.1	Date of renewal:
Sprinkler systems	COA - PA-ASE 4 CWM - SEC 8 CH 5.1
Smoke detectors, emergency alarms working	COA - PA-ASE 6 CWM - SEC 8 CH 5.1
Safety meetings held quarterly, safety plan accessible, staff trained, review of facility safety issues	COA - PA-ASE 6 COA - PA-RPM 2	Date of safety meeting: Name & role of participating staff (or attach meeting minutes)
Evacuation plans posted	COA - PA-ASE 6
Annual fire drills up to date	COA - PA-ASE 6	Date of fire drill:
Annual tornado drill up to date	COA - PA-ASE 6	Date of tornado drill:
Annual earthquake drill up to date	COA - PA-ASE 6	Date of earthquake drill:
Emergency Numbers posted/accessible (including poison control)	COA - PA-ASE 6 DSS - 3-300 OA BLDG Page 12
Exits – marked, free of obstructions and lighted	COA - PA-ASE 6 OA BLDG Page 6
Fire escapes – accessible	COA - PA-ASE 6 OA BLDG Page 6
Emergency lighting working	COA PA-ASE 4 CWM - SEC 8 CH 5.1
Flammable materials/ chemicals stored properly	COA - PA-ASE 4
Panic buttons – tested and working	COA - PA-ASE 6
First aid kit – accessible and up to date (No expired items)	COA - PA-ASE 7
Floor surfaces – free of hazards	COA - PA-ASE 4 OA BLDG Page 6
Stairs –unobstructed, well lit, handrails sturdy	COA - PA-ASE 4 OA BLDG Page 6
Sidewalks and ramps – surface free of hazards, well lit, unobstructed, handrails sturdy	COA PA-ASE 4 OA BLDG Page 6
Automatic handicap door openers – tested and working	COA - PA-ASE 7
Carpeting/mats and other flooring in good condition – without frays or ripples	COA - PA-ASE 4 OA BLDG Page 6
Designated smoking area	COA PA-ASE 1 DSS 3-200 OA Handbook SP-11 OA BLDG Page 5
Electrical outlets in public areas covered	COA PA-ASE 4
Lighting in working order	COA PA-ASE 4 CWM SEC 8 CH 5.1 OA BLDG Page 7
Cords are not frayed, are securely fastened away from travel paths. Extension cords/surge protectors are appropriate type	COA PA-ASE 4 OA BLDG Page 10
Personal appliances (fans/lamps) are compliant with OA rules (no scent warmers, plug ins, heaters)	COA PA-ASE 4 OA BLDG Page 7
Walls and ceiling unbroken	COA PA-ASE 4
Aisles are clear of obstructions/ No sharp edges exposed	COA PA-ASE 4 OA BLDG Page 6
Housekeeping is adequate	COA PA-ASE 4 OA BLDG Page 8
Assistive bars/diaper changing tables are securely fastened to walls	COA - PA-ASE 2
Adequate ventilation	COA - PA-ASE 4 OA BLDG Page 5
Material storing and stacking is appropriate	COA - PA-ASE 4
Clients’ rights posted in lobby in English and Spanish	COA PA-ASE 1 CWM SEC 1 CH 2.6
Safety suggestion boxes in lobby	COA - PA-ASE 6
Records maintained in secure locations	COA - PA-ASE 6 COA - PA-ASE 8
File check out system in place for monitoring access of closed files	COA PA-ASE 6 COA PA-RPM 6
Car seats are up to date	COA PA-ASE 6
Vehicle Inspections completed	COA PA-ASE 6 OA Handbook SP-4
Visitation room – cleaning done and log updated	COA PA-ASE 4 OA BLDG Page 8
Additional Information: