WVPP: Monthly Inspection of Workplace Violence Hazards

Name & Job Title of person conducting inspection *

Not included: Security and Fire Alarm Systems are monitored & tested by an outside contractor. Fire extinguishers are maintained by an outside contractor.

Inspection Date *

Check that each is adequate for security: *

Doors and windows lock.
Emergency exit routes are clear.
Lights work.
Landline works (phone in Bridgehouse).
Posted: Emergency phone numbers for law enforcement, fire, and medical services.
Posted: Employee Safety Procedures and Reporting.

Concerns about any of the above.

Include plans for remediation of issues.

Recent Activity *

Include a review of recent (and frequency/severity of) threatening or hostile situations that may lead to violent acts.

Access Issues *

Consider access to and freedom of movement within the workplace by non-employees, including recently discharged employees or persons with whom one of our employees is having a dispute.

UU Church of Davis

Unitarian Universalist Church Of Davis