AQWA Pty. Ltd.

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date
• Location
  Address

Employee Check

• Correct Uniform

• Clean Storeroom

• Current Safety Documents (SWMS, JSA, MSDS)
Employee/s

Are the following clean?

• Driveways & Entry Paths

  Yes

  No

  N/A

• Fire Bridge Booster Valves

  Yes

  No

  N/A

• Goodman Signage/Other Signage

  Yes

  No

  N/A

• Boom Gates/Card Readers

  Yes

  No

  N/A

• Garden/Lawn Areas

  Yes

  No

  N/A

• Nature Strips

  Yes

  No

  N/A

• Planter Boxes/Courtyards

  Yes

  No

  N/A

• Outdoor Furniture/BBQ Areas

  Yes

  No

  N/A

• Garbage Bins/Ashtrays

  Yes

  No

  N/A

• Bollards/Handrails/Balustrades

  Yes

  No

  N/A

• Ground Floor Window Frames & Louvers

  Yes

  No

  N/A

• Façade/Soffits

  Yes

  No

  N/A

• Glass Entry Doors & Façade (up to 3m)

  Yes

  No

  N/A

• Block Retaining Walls

  Yes

  No

  N/A

• Tennis Court

  Yes

  No

  N/A

• Building Surrounds

  Yes

  No

  N/A

• Mailboxes

  Yes

  No

  N/A

Are the following clean?

• Walls & Doors

  Yes

  No

  N/A

• Window Sills/Ledges

  Yes

  No

  N/A

• Air Vents/Grills

  Yes

  No

  N/A

• Furniture & Rug

  Yes

  No

  N/A

• Tenant Directory Boards (electronic/static)

  Yes

  No

  N/A

• Hard Flooring &/or Carpeted Areas

  Yes

  No

  N/A

• Planter Boxes &/or Plants

  Yes

  No

  N/A

Are the following clean?

• Call Buttons/Plates

  Yes

  No

  N/A

• Walls/Mirrors

  Yes

  No

  N/A

• Internal Fittings/Buttons

  Yes

  No

  N/A

• Fittings/Railings

  Yes

  No

  N/A

• Hard Flooring &/or Carpet

  Yes

  No

  N/A

• Door Tracks

  Yes

  No

  N/A

Are the following clean?

• Hard Flooring &/or Carpeted Areas

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Air Vents / Grills

  Yes

  No

  N/A

Bathrooms

• Doors & Door Handles

  Yes

  No

  N/A

• Bench Tops, Hand Basins & Water Taps

  Yes

  No

  N/A

• Chrome/Stainless Steel Fittings

  Yes

  No

  N/A

• Mirrors/Glass

  Yes

  No

  N/A

• Garbage Bins

  Yes

  No

  N/A

• Toilet Paper/Hand Towel/Soap

  Yes

  No

  N/A

• Showers

  Yes

  No

  N/A

• Air Vents/Grills

  Yes

  No

  N/A

• Walls & Partitions

  Yes

  No

  N/A

• Toilets (Pans/Seats/Bowls) & Urinals

  Yes

  No

  N/A

• Flooring

  Yes

  No

  N/A

Are the following clean?

• Doors/Handles

  Yes

  No

  N/A

• Fire Hose Reels / Hydrants

  Yes

  No

  N/A

• Exit Sign

  Yes

  No

  N/A

• Stairs

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Handrails/Balustrades

  Yes

  No

  N/A

Are the following clean?

• Flooring

  Yes

  No

  N/A

• Roller Shutters

  Yes

  No

  N/A

• Boom Gates/Card Readers

  Yes

  No

  N/A

• Signage

  Yes

  No

  N/A

• Bollards/Handrails/Balustrades

  Yes

  No

  N/A

• Fire Hose Reels/Hydrants/Extinguishers

  Yes

  No

  N/A

• Lift Foyers

  Yes

  No

  N/A

• Pipe Work

  Yes

  No

  N/A

Are the following clean?

• Drains, Bench Tops, & Surrounds

  Yes

  No

  N/A

• Cupboards

  Yes

  No

  N/A

• Refrigerators, Microwaves & Fittings

  Yes

  No

  N/A

• Dishwashers

  Yes

  No

  N/A

• Flooring

  Yes

  No

  N/A

• Area Behind Fridge

  Yes

  No

  N/A

• Garbage Bins

  Yes

  No

  N/A

• Lunch Table & Chairs

  Yes

  No

  N/A

Inspecting Manager

• Add signature

  Sign