WORKPLACE VIOLENCE PREVENTION/SECURITY
SELF INSPECTION SECURITY CHECKLIST
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Facility: |
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Inspector: |
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Date of Inspection: |
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Yes |
No |
1 |
Security Control Plan: If yes, does it contain: |
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(A) Policy Statement |
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(B) Review of Employee Incident Exposure |
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(C) Methods of Control |
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Work Practice |
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Training |
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Reporting Procedures |
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Recordkeeping |
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Counseling (EAP) |
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(D) Evaluation of Incidents |
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(E) Floor Plan |
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(F) Protection of Assets |
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(G) Computer Security |
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(H) Plan Accessible to All Employees |
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(I) Plan Reviewed and Updated Annually |
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(J) Plan Reviewed and Updated When Tasks Added or Changed |
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2 |
Policy Statement by Employer |
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3 |
Work Areas Evaluated by Employer If yes, how often? |
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4 |
Engineering Controls If yes, does it include: |
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Yes |
No |
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5 |
Structural Modifications ( Plexiglas, glass guard, wire glass, partitions, etc.)If yes, comment: |
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6 |
Security Guards |
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Contract Guards or In-house Employees |
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If yes, indicate what type: |
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7 |
Work Practice Controls If yes, indicate: |
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Yes |
No |
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Other: |
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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.) |
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9 |
Training Conducted If yes, is it: |
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Yes |
No |
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Components of security control plan |
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Engineering and Workplace Controls Instituted at Workplace |
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Techniques to Use in Potentially Volatile Situations |
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How to Anticipate/Read Behavior |
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Procedures to Follow After an Incident |
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Periodic Refresher for On-Site Procedures |
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Recognizing Abuse/Paraphernalia |
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Opportunity for Q and A with Instructor |
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On hazards unique to job tasks |
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10 |
Written Training Records Kept |
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11 |
Are Incidents Reported If yes, are they: |
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Reported in Written Form |
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First Report of Injury Form (If Employee Loses Time) |
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12 |
Incidents Evaluated |
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EAP Counseling Offered |
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Other Action (Reporting Requirements, suggestions, reporting to local authorities, etc.) |
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Are Steps Taken to Prevent Recurrence? |
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13 |
Floor Plans Posted Showing Exits, Entrances, Location of Security Equipment, Etc. If yes, does it: |
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Include an Emergency Action Plan, Evacuation Plan, and/or a Disaster Contingency Plan? |
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14 |
Do Employees Feel Safe |
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Have employees been surveyed to find out their concerns |
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Has the employer utilized the crime prevention services and/or lectures provided by the local or State police? |
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15 |
Security Observations |
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(1) Entry Barriers |
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(2) Signs |
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(3) Lighting |
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(4) Windows |
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(5) Equipment Near Street Level Windows |
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(6) Interior Patrol Visibility |
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(7) Burglary Resistant Glazing Materials |
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(8) Shrubbery |
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(9) Skylights |
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(10) Vents |
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(11) Air Conditioners |
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(12) Grills and Gratings |
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(13) Doors and Door Frames |
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(14) Strikes |
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(15) Key Control |
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(16) Equipment Locks |
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(17) Hinge Protection |
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(18) Roof Accessibility |
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(19) Fences |
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(20) Vehicle Security |
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(21) Padlocks |
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(22) Hasps |
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(23) Chains |
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(24) Safes |
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(25) Inventories and Engraving |
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(26) Reporting Crimes |
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(27) Employee Participation |
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(28) Additional Recommendations |
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(29) Armored Car Service |
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(30) Emergency Preparedness and Evacuation Plan |
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(31) Dealing with Difficult Customers |
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(32) Alarm System |
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(33) Cash Handling |
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Comments:
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General Comments/Recommendations:
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