Checklist: Model Self-Inspection Security

Facility: ...

Inspector: ...

Date of Inspection: ...

1. Security Control Plan:  Yes  No

If yes, does it contain:

(A) policy statement  Yes  No

(B) review of employee incident exposure  Yes  No

(C) methods of control  Yes  No

If yes, does it include:

         engineering  Yes  No

         work practice  Yes  No

         training  Yes  No

         reporting procedures  Yes  No

         recordkeeping  Yes  No

         counseling  Yes  No

(D) evaluation of incidents  Yes  No

(E) floor plan  Yes  No

(F) protection of assets  Yes  No

(G) computer security  Yes  No

(H) plan accessible to all employees  Yes  No

(I) plan reviewed and updated annually  Yes  No

(J) plan reviewed and updated when tasks added or changed  Yes  No

2. Policy Statement by Employer  Yes  No

3. Work Areas Evaluated by Employer  Yes  No

If yes, how often? ...

4. Engineering Controls  Yes  No

If yes, does it include:

(A) mirrors to see around corners and in blind spots  Yes  No

(B) landscaping to provide unobstructed view of the workplace  Yes  No

(C) "fish bowl effect" to allow unobstructed view of the interior  Yes  No

(D) limiting the posting of sale signs on windows  Yes  No

(E) adequate lighting in and around the workplace  Yes  No

(F) parking lot well lighted  Yes  No

(G) door control(s)  Yes  No

(H) panic button(s)  Yes  No

(I) door detector(s)  Yes  No

(J) closed circuit TV  Yes  No

(K) stationary metal detector  Yes  No

(L) sound detection  Yes  No

(M) intrusion detection system  Yes  No

(N) intrusion panel  Yes  No

(O) monitor(s)  Yes  No

(P) video tape recorder  Yes  No

(Q) switcher  Yes  No

(R) hand held metal detector  Yes  No

(S) hand held video camera  Yes  No

(T) personnel traps ("sally traps")  Yes  No

(U) other ...  Yes  No

5. Structural Modifications (such as plexiglass, glass guard, wire glass, partitions, etc.)  Yes  No

If yes, comment: ...

6. Security Guards  Yes  No

(A) If yes, are there an appropriate number for the site?  Yes  No

(B) Are they knowledgeable of the company WPVP Policy?  Yes  No

(C) Indicate if they are:

__ contract guards

__ in-house employees

(D) at entrance(s)  Yes  No

(E) building patrol  Yes  No

(F) guards provided with communication?  Yes  No

If yes, indicate what type: ...

(G) guards receive training on workplace violence situations?  Yes  No

Comments: ...

7. Work Practice Controls  Yes  No

If yes, indicate:

(A) desks clear of objects which may become missiles  Yes  No

(B) unobstructed office exits  Yes  No

(C) vacant (bare) cubicles available  Yes  No

(D) reception area available  Yes  No

(E) visitor/client sign in/out  Yes  No

(F) visitor(s)/client(s) escorted  Yes  No

(G) barriers to separate clients from work area  Yes  No

(H) one entrance used  Yes  No

(I) separate interview area(s)  Yes  No

(J) I.D. badges used  Yes  No

(K) emergency numbers posted by phones  Yes  No

(L) internal phone system  Yes  No

If yes, indicate:

         Does it use 120 VAC building lines?  Yes  No

         Does it use phone lines?  Yes  No

(M) internal procedures for conflict (problem) situations  Yes  No

(N) procedures for employee dismissal  Yes  No

(O) limit spouse and family visits to designated areas  Yes  No

(P) key control procedures  Yes  No

(Q) access control to the workplace  Yes  No

(R) objects which may become missiles removed from area  Yes  No

(S) parking prohibited in fire zones  Yes  No

Other: ...

7a. Off Premises Work Practice Controls

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

(A) trained in hazardous situation avoidance  Yes  No

(B) briefed about areas where they work  Yes  No

(C) have reviewed past incidents by type and area  Yes  No

(D) know directions and routes for day's schedule  Yes  No

(E) previewed client/case histories  Yes  No

(F) left an itinerary with contact information  Yes  No

(G) have periodic check-in procedures  Yes  No

(H) after hours contact procedures  Yes  No

(I) partnering arrangements if deemed necessary  Yes  No

(J) know how to control/defuse potentially violent situations  Yes  No

(K) supplied with personal alarm/cellular phone/radio  Yes  No

(L) limit visible clues of carrying money/valuables  Yes  No

(M) carry forms to record incidents by area  Yes  No

(N) know procedures if involved in incident  Yes  No

(see also Training Section)

8. Training Conducted  Yes  No

If yes, is it:

(A) prior to initial assignment  Yes  No

(B) at least annually thereafter  Yes  No

(C) Does it include:

         components of security control plan  Yes  No

         engineering and workplace controls instituted at workplace  Yes  No

         techniques to use in potentially volatile situations  Yes  No

         how to anticipate/read behavior  Yes  No

         procedures to follow after an incident  Yes  No

         periodic refresher for on-site procedures  Yes  No

         recognizing abuse/paraphernalia  Yes  No

         opportunity for Q and A with instructor on hazards unique to job tasks  Yes  No

9. Written Training Records Kept  Yes  No

10. Are Incidents Reported  Yes  No

If yes, are they:

(A) reported in written form  Yes  No

(B) first report of injury form (if employee loses time)  Yes  No

11. Incidents Evaluated  Yes  No

(A) EAP counseling offered  Yes  No

(B) other action (reporting requirements, suggestions, reporting to local authorities etc.): ...

(C) Are steps taken to prevent recurrence?  Yes  No

12. Floor Plans Posted Showing Exits, Entrances, Location of Security Equipment, etc.  Yes  No

If yes, do they include an emergency action plan, evacuation plan, and/or a disaster contingency plan?  Yes  No

13. Do Employees Feel Safe?  Yes  No

(A) Have employees been surveyed to find out their concerns?  Yes  No

(B) Has the employer utilized the crime prevention services and/or lectures provided by the local or state police?  Yes  No

Comments: ...

General Comments/Recommendations: ...

Checklist: Workplace violence security audit

Often an outside security company can come into the workplace to perform an audit. A good security audit will answer the following questions:

         Who is allowed in which areas?

         How will persons who are authorized to be in an area be identified?

         What privileges will visitors have?

         What privileges will temporary employees have?

         Who will enforce access restrictions and how?

         Will people entering the facility be searched or asked if they are carrying weapons?

         Will employees be allowed to carry knives or potential weapons at work?

         Who will maintain the security system and who will test it?

After conducting an audit and an assessment of security practices, employers will decide what measures are needed for their facilities. There are a broad range of protective measures such as:

         strategically placed mirrors in hallways

         a card access system

         closed-circuit TV

         a system for issuing and collecting keys

         metal detectors

         stickers with emergency numbers for each telephone

         alarm systems with silent panic buttons

         effective lighting

         multiple exits

         avoiding furniture placement that creates a trap for someone who is fleeing another

Reprinted with permission. © CCH