Information

  • Client Name

  • Audit Frequency

  • Document No.

  • Conducted on

  • Prepared by

  • Site Address
  • Special Notes

CONTRACT MANAGEMENT

  • Area Manager response time

  • Cleaners cupboard check

  • Cleaners time keeping/attendance

  • Health and safety

  • Safety signs used at all times

  • Timely ordering of materials/consumables

MAIN RECEPTION

  • All glass areas

  • Chairs

  • Cutlery & Crockery

  • Door signage

  • Doors

  • Floor areas

  • Furniture

  • Ledges up to a height of 1.8 meters

WASHROOMS / SHOWERS

  • Consumables replenished

  • Doors

  • Hard floor areas

  • Kick plates

  • Ledges

  • Ledges up to a height of 1.8 meters

  • Mirrors

  • Push plates

  • Shower units

  • Taps/shower heads de-scaled

  • Tiles and splash backs

  • Toilet bowls and seats

  • Urinals

  • Vanity units

  • Wash basins and taps

  • Waste bins

COMMUNAL KITCHEN / BREAKOUT AREA

  • Cupboard doors

  • Cutlery & crockery

  • Doors

  • Fridge

  • Furniture

  • Hard floor area

  • Ledges up to a height of 1.8 meters

  • Microwave oven

  • Sinks, taps & drainer

  • Splash backs

  • Waste bins

  • Work surfaces

CORRIDORS / STAIRCASES / ESCAPE ROUTES

  • All glass areas

  • Carpeted areas

  • Door glass

  • Doors

  • Furniture

  • Hand rails

  • Hard floor areas

  • Kick plates

  • Ledges up to a height of 1.8 meters

  • Push plates

LIFT: PASSENGER / GOODS

  • Carpeted areas

  • Exterior control panels

  • Hard floor areas

  • Interior control panels

  • Interior doors

  • Interior walls

  • Ledges up to a height of 1.8 meters

  • Mirrors

  • Runners

SIGNATURE APPROVAL

  • Service Provider Signature

  • Workspace 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. You should independently determine whether the template is suitable for your circumstances.