Title Page

  • Conducted on

  • Prepared by

  • Location

Downstairs Cleaners Cupboard

  • Is the cupboard tidy?

  • Has the floor been mopped?

  • Is the sink clean and empty?

  • Are all chemical holders stocked and in use?

  • Is the toilet caddy fully stocked?

Downstairs General

  • Are the void areas behind the toilets clean and tidy?

  • Has the floor been swept and mopped?

  • Are all doors clean and free from marks/dirt?

  • Have the cellar stairs been mopped and are they free from obstruction?

Cellar Landing / Office Corridor

  • Has the landing been swept and mopped?

  • Has the corridor been swept and mopped?

  • Is the confidential store and boiler room locked?

  • Is staff toilet 1 clean, swept, mopped and fully stocked (blue roll, soap, empty bin)?

  • Is staff toilet 2 clean, swept, mopped and fully stocked (blue roll, soap, empty bin)?

  • Is the room to staff toilet 3&4 clean, tidy and has it been swept and mopped?

  • Is staff toilet 3 clean, swept, mopped and soap in the hand wash point?

  • Is staff toilet 4 clean, swept, mopped and soap in the hand wash point?

Office

  • Is the first office section clean, tidy and has it been hoovered?

  • Is the main office area clean, tidy and has it been hoovered?

Staff Room & Changing

  • Is the staff room clean, today and has it been mopped?

  • Are all posters / communications up to date?

  • Is the fridge clean?

  • Is the microwave clean?

  • Are the changing rooms clean, tidy and mopped?

Upstairs Cleaning Cupboard

  • Is the cupboard tidy and organised?

  • Is the sink empty and clean?

  • Are all chemicals fully stocked?

  • Is the toilet caddy fully stocked?

Upstairs Corridor / Non-Con

  • Has the corridor been swept and mopped?

  • Has the non-con been swept and mopped?

  • Is the non-con tidy and organised?

Bin Area

  • Is the floor free from debris and tidy?

  • Are all barrels being stored to plan?

  • Are the bins in good condition and in the correct place?

  • Any maintenance issues?

Sign Off Declaration

  • Please sign to confirm that relevant corrective action has been taken to ensure all issues highlighted are completed in a reasonable time frame

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.