WORKPLACE VIOLENCE PREVENTION/SECURITY

SELF INSPECTION SECURITY CHECKLIST

 

Facility:

 

 

 

Inspector:

 

 

 

Date of Inspection:

 

 

 

 

Yes

No

1

Security Control Plan:
If yes, does it contain:

 

 

 

(A) Policy Statement

 

 

 

(B) Review of Employee Incident Exposure

 

 

 

(C) Methods of Control
If yes, does it include: Engineering:

 

 

 

Work Practice

 

 

 

Training

 

 

 

Reporting Procedures

 

 

 

Recordkeeping

 

 

 

Counseling (EAP)

 

 

 

(D) Evaluation of Incidents

 

 

 

(E) Floor Plan

 

 

 

(F) Protection of Assets

 

 

 

(G) Computer Security

 

 

 

(H) Plan Accessible to All Employees

 

 

 

(I) Plan Reviewed and Updated Annually

 

 

 

(J) Plan Reviewed and Updated When Tasks Added or Changed

 

 

2

Policy Statement by Employer

 

 

3

Work Areas Evaluated by Employer
If yes, how often?

 

 

4

Engineering Controls
If yes, does it include:

 

 

 

  1. Mirrors to see around corners and in blind spots

 

 

 

  • Landscaping to provide unobstructed view of the workplace
  •  

     

     

  • "Fishbowl effect" to allow unobstructed view of the interior
  •  

     

     

  • Limiting the posting of sale signs on windows
  •  

     

     

     

    Yes

    No

     

  • Adequate lighting in and around the workplace
  •  

     

     

  • Parking lot well lighted
  •  

     

     

  • Door Control(s)
  •  

     

     

  • Panic Button(s)
  •  

     

     

  • Door Detector(s)
  •  

     

     

  • Closed Circuit TV
  •  

     

     

  • Stationary Metal Detector
  •  

     

     

  • Sound Detection
  •  

     

     

  • Intrusion Detection System
  •  

     

     

  • Intrusion Panel
  •  

     

     

  • Monitor(s)
  •  

     

     

  • Video Tape Recorder
  •  

     

     

  • Switcher
  •  

     

     

  • Hand Held Metal Detector
  •  

     

     

  • Hand held video camera
  •  

     

     

  • Personnel traps ("Sally Traps")
  •  

     

     

  • Other
  •  

     

    5

    Structural Modifications

    (Plexiglas, glass guard, wire glass, partitions, etc.)

    If yes, comment:

     

     

    6

    Security Guards

     

     

     

    1. If yes, are there an appropriate number for the site?

     

     

     

  • Are they knowledgeable of the company WPVP Policy?
  •  

     

     

  • Indicate if they are:
  • Contract Guards or In-house Employees

     

     

     

  • At Entrance(s)
  •  

     

     

  • Building Patrol
  •  

     

     

  • Guards provided with communication?
    If yes, indicate what type:
  •  

     

     

  • Guards receive training on Workplace Violence situations?
  •  

     

     

  • Comments:
  •  

     

    7

    Work Practice Controls

    If yes, indicate:

     

     

     

    1. Desks Clear of Objects which may become Missiles

     

     

     

  • Unobstructed Office Exits
  •  

     

     

  • Vacant (Bare) Cubicles Available
  •  

     

     

     

    Yes

    No

     

  • Reception Area Available
  •  

     

     

  • Visitor/Client Sign In/Out
  •  

     

     

  • Visitor(s)/Client(s) Escorted
  •  

     

     

  • Barriers to Separate Clients from Work Area
  •  

     

     

  • One Entrance Used
  •  

     

     

  • Separate Interview Area(s)
  •  

     

     

  • I.D. Badges Used
  •  

     

     

  • Emergency Numbers Posted By Phones
  •  

     

     

  • Internal Phone System
  •  

     

     

  • Internal Procedures for Conflict (Problem) Situations
  •  

     

     

  • Procedures for employee dismissal
  •  

     

     

  • Limit Spouse & Family Visits to Designated Areas
  •  

     

     

  • Key Control Procedures
  •  

     

     

  • Access Control to the Workplace
  •  

     

     

  • Objects which may become Missiles Removed from Area
  •  

     

     

  • Parking Prohibited in Fire Zones
  •  

     

     

    Other:

     

     

    8

    Off Premises Work Practice Controls (For staff who work away from a fixed workplace, such as: social services, real estate, utilities, policy/fire/sanitation, taxi/limo, construction, sales/delivery, messengers, and others.)

     

     

     

    1. Trained in hazardous situation avoidance

     

     

     

  • Briefed about areas where they work
  •  

     

     

  • Have reviewed past incidents by type and area
  •  

     

     

  • Know directions and routes for day's schedule
  •  

     

     

  • Previewed client/case histories
  •  

     

     

  • Left an itinerary with contact information
  •  

     

     

  • Have periodic check-in procedures
  •  

     

     

  • After hours contact procedures
  •  

     

     

  • Partnering arrangements if deemed necessary
  •  

     

     

  • Know how to control/defuse potentially violent situations
  •  

     

     

  • Supplied with personal alarm/cellular phone/radio
  •  

     

     

  • Limit visible clues of carrying money/valuables
  •  

     

     

  • Carry forms to record incidents by area
  •  

     

     

  • Know procedures if involved in incident (see also Training Section)
  •  

     

    9

    Training Conducted

    If yes, is it:

     

     

     

     

    Yes

    No

     

    1. Prior to Initial Assignment

     

     

     

  • At Least Annually Thereafter(
  •  

     

     

  • Does it Include:
  •  

     

     

    Components of security control plan

     

     

     

    Engineering and Workplace Controls Instituted at Workplace

     

     

     

    Techniques to Use in Potentially Volatile Situations

     

     

     

    How to Anticipate/Read Behavior

     

     

     

    Procedures to Follow After an Incident

     

     

     

    Periodic Refresher for On-Site Procedures

     

     

     

    Recognizing Abuse/Paraphernalia

     

     

     

    Opportunity for Q and A with Instructor

     

     

     

    On hazards unique to job tasks

     

     

    10

    Written Training Records Kept

     

     

    11

    Are Incidents ReportedIf yes, are they:

     

     

     

    Reported in Written Form

     

     

     

    First Report of Injury Form (If Employee Loses Time)

     

     

    12

    Incidents Evaluated

     

     

     

    EAP Counseling Offered

     

     

     

    Other Action (Reporting Requirements, suggestions, reporting to local authorities, etc.)

     

     

     

    Are Steps Taken to Prevent Recurrence?

     

     

    13

    Floor Plans Posted Showing Exits, Entrances, Location of Security Equipment, Etc. If yes, does it:

     

     

     

    Include an Emergency Action Plan, Evacuation Plan, and/or a Disaster Contingency Plan?

     

     

    14

    Do Employees Feel Safe

     

     

     

    Have employees been surveyed to find out their concerns

     

     

     

    Has the employer utilized the crime prevention services and/or lectures provided by the local or State police?

     

     

    15

    Security Observations

     

     

     

    (1) Entry Barriers

     

     

     

    (2) Signs

     

     

     

    (3) Lighting

     

     

     

    (4) Windows

     

     

     

    (5) Equipment Near Street Level Windows

     

     

     

    (6) Interior Patrol Visibility

     

     

     

    (7) Burglary Resistant Glazing Materials

     

     

     

    (8) Shrubbery

     

     

     

    (9) Skylights

     

     

     

    (10) Vents

     

     

     

    (11) Air Conditioners

     

     

     

    (12) Grills and Gratings

     

     

     

    (13) Doors and Door Frames

     

     

     

    (14) Strikes

     

     

     

    (15) Key Control

     

     

     

    (16) Equipment Locks

     

     

     

    (17) Hinge Protection

     

     

     

    (18) Roof Accessibility

     

     

     

    (19) Fences

     

     

     

    (20) Vehicle Security

     

     

     

    (21) Padlocks

     

     

     

    (22) Hasps

     

     

     

    (23) Chains

     

     

     

    (24) Safes

     

     

     

    (25) Inventories and Engraving

     

     

     

    (26) Reporting Crimes

     

     

     

    (27) Employee Participation

     

     

     

    (28) Additional Recommendations

     

     

     

    (29) Armored Car Service

     

     

     

    (30) Emergency Preparedness and Evacuation Plan

     

     

     

    (31) Dealing with Difficult Customers

     

     

     

    (32) Alarm System

     

     

     

    (33) Cash Handling

     

     

    Comments:

     

    General Comments/Recommendations: