Assessment Date

Building Location

Assessor Name

Department/Unit

Assessment Type

• Routine

• Ad-hoc

Criteria

Score

Comments /
Actions Required

Structural Integrity

• Condition of building foundation, walls, floors, and roofs.

• Presence of cracks or structural damage.

• Evidence of water damage.

Fire Safety

• Availability and accessibility of fire extinguishers.

• Functionality of smoke detectors and fire alarms.

• Clarity of fire evacuation routes.

Electrical Safety

• Condition and organization of electrical wiring.

• Functionality of circuit breakers and electrical panels.

• Availability of emergency power sources.

Emergency Exits

• Visibility and accessibility of emergency exits.

• Adequacy of emergency exit signage and lighting.

• Obstructions in pathways to emergency exits.

Lighting

• Adequacy of lighting in all areas.

• Functionality of emergency lighting systems.

• Condition of light fixtures and switches.

Ventilation and Air Quality

• Effectiveness of ventilation systems.

• Presence of any odors or pollutants.

• Regular maintenance of HVAC systems.

Sanitation Facilities

• Cleanliness and availability of restrooms.

• Supply of sanitary products.

• Functionality of plumbing systems.

Accessibility

• Compliance with accessibility standards for individuals with disabilities.

• Condition of ramps, lifts, and handrails.

• Signage for accessible routes and facilities.

Action Item

Responsible Person

Deadline