Workplace Security Assessment Checklist Template
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3Workplace Security Checklist
Facility:
_________________________________________________
Address/Work Location:
_________________________________________________
Assessment Done By:
_________________________________________________
Date of Assessment:
_________________________________________________
Security Control Plan
Has a Security Control Plan been developed?
Yes ___
No ___
If yes, is it in writing?
Yes ___
No ___
If yes, does it include:
A. A Policy Statement
Yes ___
No ___
B. Evaluation of work areas
Yes ___
No ___
C. Identification of control methods considered:
1. Engineering Controls
Yes ___
No ___
2. Work Practice Controls
Yes ___
No ___
D. Training
Yes ___
No ___
E. Evacuation and Floor Plan
Yes ___
No ___
Is the Security Control Plan accessible to all employees?
Yes ___
No ___
Is the Security Control Plan reviewed and updated when a task
has been added or changed and at least annually?
Yes ___
No ___
Have you coordinated your Security Control Plan with the
local law enforcement agency?
Yes ___
No ___
A. Policy Statement
Is the policy statement clearly written and does it support zero tolerance?
Yes ___
No ___
B. Work Area Evaluation
Are all areas being evaluated?
Yes ___
No ___
Comments:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
C. Control Measures
1. Engineering Controls
If appropriate, have the following engineering controls been implemented:
A. Door Control(s)
Yes ___
No ___
B. Panic buttons
Yes ___
No ___
C. Door detectors
Yes ___
No ___
E. Closed circuit
Yes ___
No ___
F. Stationary metal detector
Yes ___
No ___
G. Sound detection
Yes ___
No ___
H. Intrusion panel
Yes ___
No ___
I. Monitors
Yes ___
No ___
J. Video tape recorder
Yes ___
No ___
K. Switcher
Yes ___
No ___
12/28/2006
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Parent category: Business