Maintenance Checklist Template
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3SCHOOL FACILITIES
05.2 AP.21
Maintenance Checklist
S
/S
_____________________________________________ D
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CHOOL
ITE
ATE
NSPECTOR
This form is a reminder of general areas and items to be inspected by the school. Check each item acceptable or not acceptable. All not acceptable items shall include the
location, the date corrected on-site, the person making the correction, or the work order number submitted for the correction to be made. All attempts shall be made to correct
any not acceptable items before a work order is submitted. This form shall be sent to the district's Director of Buildings & Grounds. A copy of this form shall be kept by the
employee making the inspection.
Area to be Inspected
Acceptable
Not Acceptable
Location(s) Room/Area
Corrected on Site By
Work Order ID #
General Maintenance Items
Evacuation plans posted
Emergency procedures posted
Supply &material storage
MSDS sheets on file
First Aid supplies in stock
Maintenance equipment
Employee safety procedures
Interior Electrical
Switches and cover plates
Receptacles and cover plates
Light fixtures
Panel closed & locked
Exit signs operational
Emergency lights operational
Extension cords in use
Exposed wiring
Unapproved wiring practices –
i.e., Romex wiring not in
conduit
Electrical panels – three (3)
foot clearance
Exterior Electrical
Exterior lighting
Power connections to bldg.
Utility poles
Exposed wiring
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