PSU KITCHEN SAFETY INSPECTION FORM

Date

Inspector(s)

Building

Department

Does the area have a clean and orderly appearance?

• Yes
• No
• N / A

Is the kitchen free from trip/slip hazards?

• Yes
• No
• N / A

Are "wet floor signs" or equivalent available and used when mopping floors?

• Yes
• No
• N / A

Are exits clearly identified and accessible?

• Yes
• No
• N / A

Are fire extinguishers available and clearly accessible?

• Yes
• No
• N / A

Are all fire extinguishers mounted to the wall?

• Yes
• No
• N / A

Have all fire extinguishers been serviced within the past 12 months?

• Yes
• No
• N / A

Are emergency pull stations visible and clearly accessible?

• Yes
• No
• N / A

Do sprinkler heads have at least 18 inches of vertical clearance?

• Yes
• No
• N / A

Are hoods, ducts, and filters kept free of grease accumulation?

• Yes
• No
• N / A

Are combustible materials located away from ranges and other hot surfaces?

• Yes
• No
• N / A

Is all electrical equipment in good condition (no exposed wiring/frayed cords?

• Yes
• No
• N / A

Are all disconnecting means labeled to indicate their use or equipment served?

• Yes
• No
• N / A

Is at least three feet of clear space provided in front of all electrical panels?

• Yes
• No
• N / A

Are all electrical openings (knockouts) covered?

• Yes
• No
• N / A

Are electrical enclosures (switches, outlets, etc) equipped w/ tight-fitting covers?

• Yes
• No
• N / A

Are sufficient outlets provided to avoid the use of extension cords?

• Yes
• No
• N / A

Are GFCI outlets provided where required?

• Yes
• No
• N / A

Is equipment free from any exposed moving parts/pinch points?

• Yes
• No
• N / A

Is machine guarding in good condition and working properly?

• Yes
• No
• N / A

Are all warning labels legible (e.g. hot surface labels?

• Yes
• No
• N / A

Are knives kept sharp and stored in racks or knife blocks when not in use?

• Yes
• No
• N / A

Are step ladders in good condition?

• Yes
• No
• N / A

Is all material stacked in a stable manner?

• Yes
• No
• N / A

Are overhead objects secure?

• Yes
• No
• N / A

Do employees use proper manual lifting techniques?

• Yes
• No
• N / A

Does ventilation have adequate flow?

• Yes
• No
• N / A

Is lighting adequate?

• Yes
• No
• N / A

Are there any repetitive motion concerns or awkward work postures?

• Yes
• No
• N / A

Are Material Safety Data Sheets (MSDS's) available for all chemicals?

• Yes
• No
• N / A

Are waste materials placed in the proper receptacles?

• Yes
• No
• N / A

Is waste removed on a routine basis?

• Yes
• No
• N / A

Note any other miscellaneous hazards not covered by checklist

Note any comments related to specific hazards uncovered during the inspection

Reference: https://ehs.psu.edu/sites/ehs/files/kitchen_safety_inspection_checklist.pdf