• Select date

Toilets

  • Pans clean

  • Urinals clean

  • Hand basins and sinks clean.

  • Mirrors clean.

  • Consumables/dispensers clean.

  • Floors clean<br>

  • Doors/walls/partitions clean

  • Showers and baths clean.

  • Comments.

Internal rubbish

  • Waste bins and liners.

  • Odour

  • Comments.

Kitchen /Canteen/

  • Sinks and benches

  • Cabinets and appliances

  • Floors /walls /bins

  • Tables and chairs.

  • Stainless steel.

  • Comments.

Carpeted floors

  • Traffic areas

  • Corners and edges.

  • Under furniture .

  • Spotting.

  • Comments.

Floors

  • Sweeping /mopping /scrubbing.

  • Corners and edges.

  • Under furniture /rugs/mats

  • Buffing and shine.

  • Comments.

Walls /doors/glass

  • Doors/walls/light switches

  • Skirting boards

  • Partition glass baffle glass.

  • Windows external

  • Windows internal

  • Voids and balustrades

  • Comments.

Low level(below 1.8 metres)

  • Desks and tables

  • Office furniture /equipment .

  • Chairs.

  • Shelves/ledges.

  • Blackboards/whiteboards

  • Lockers /cabinets

  • Glass.

  • Comments.

High level (above 1.8 metres)light fitting

  • Light fitting/fans

  • Ledges /sills.

  • Signage /picture frames

  • Air conditioners /vents

  • Glass

  • Comments.

Entrances and foyers

  • Presentation .

  • Mats

  • Immediate surrounding.

  • Glass /aluminium /stainless steel

  • Comments.

External areas

  • Tiled and paved areas

  • Grassed areas.

  • Veranders.

  • Refuse area.

  • Gardens.

  • Comments.

Other.

  • Loading docks.

  • Stairs/stairwells.

  • Lifts.

  • Escalators.

  • Travelators

  • Corridors / walkways.

  • Concrete/factory floors.

  • Children's areas /rides.

  • Car parks.

  • Cleaners room / storage.

  • Comments.

Authorisation signatures

  • ACS manager signature

  • Client Signature

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.