Foot Traffic Area Safety Checklist (Slip/Fall Prevention)
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This Template was installed 5 times.
General Area Assessment
Overall observation of foot traffic areas for potential hazards and maintenance needs.
Date of Assessment
Time of Assessment
Area Assessed (e.g., Main Entrance, Hallway A)
Overall Condition of Area (General Impression)
General Observations (Describe any immediately noticeable hazards or concerns)
Potential Hazard Types Observed (Check all that apply)
Assessor Name
Assessor Signature
Floor Surface Condition
Evaluation of floor surfaces for wear, damage, and slip resistance.
Overall Floor Surface Condition
Types of Damage Observed (check all that apply)
Slip Resistance Rating (if known, per ASTM or similar standard)
Detailed Description of any observed surface issues or hazards.
Floor Cleaning Type
Upload Photos of Floor Surface
Spill Response and Prevention
Assessment of procedures and equipment for quick spill cleanup and preventative measures.
Number of Spill Kits Available
Spill Kit Contents Checked & Restocked (Last Inspection)
Brief Description of Spill Response Plan (Summary)
Types of Spills Commonly Encountered
Date of Last Spill Response Drill/Training
Describe any recent spill incidents and corrective actions taken.
Staff Trained in Spill Response Procedures?
Weather Related Hazards
Procedures and controls for managing weather-related risks (rain, snow, ice).
Frequency of snow/ice removal checks (times per day)
Type of de-icing agent used:
If 'Other' de-icing agent selected, please specify:
Date of last inspection of snow removal equipment:
Procedure for managing rainwater accumulation:
If 'Other' rainwater management procedure selected, please specify:
Which areas are most vulnerable to weather-related hazards?
If 'Other' area selected, please specify:
Lighting
Adequacy of lighting in foot traffic areas to ensure visibility.
Minimum Lux Level Observed
Lighting Type
Uniformity of Light Distribution?
Details of any Shadows or Glare Issues
Are Emergency Lights Functional and Tested Regularly?
Date of last lighting inspection/maintenance
Mats and Rugs
Inspection of mats and rugs for proper placement, condition, and secure anchoring.
Mat/Rug Condition
Mat/Rug Securely Anchored?
Mat/Rug Thickness (inches)
Notes on Mat/Rug Condition or Maintenance Needed
Material of Mat/Rug
Attach Photo of Mat/Rug (if needed)
Signage and Warnings
Presence and clarity of warning signs for wet floors, construction zones, or other hazards.
Are 'Wet Floor' signs present where required?
Are signs clearly visible and legible?
Describe any deficiencies in signage or warning systems (e.g., missing signs, damaged signs, incorrect wording).
Are warning signs used for construction or repair areas?
Number of missing/damaged warning signs identified.
Upload a photo of any inadequate or missing signage.
Maintenance and Documentation
Records of inspections, maintenance activities, and corrective actions taken.
Last Inspection Date
Inspection Frequency (Days)
Summary of Findings
Corrective Actions Required
Completion Date (Corrective Actions)
Details of Corrective Action Taken
Maintenance Provider
Supporting Documentation (Photos, Reports)
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