Information

  • Report Title

  • Client / Site

  • Specific Area
  • Conducted on

  • Prepared by

  • Document No.

Lobby / Entrances / Concourse areas

  • 1. Trash removed / receptacles cleaned

  • 2. Dust mopped & Mopped,swept or Vacuumed floors

  • 3. Carpet free of spots/ gum removal and polished floors

  • 4. Furniture cleaning /general seating area cleanliness

  • 5. High and low dusting

  • 6. Vertical Surfaces (walls, doors, glass and stainless steel)

Restrooms

  • 1. Trash removed / Receptacles cleaned

  • 2. Clean and polished restroom's fixtures ( sinks, toilets, urinals, faucets etc)

  • 3. Clean / Dust mirror, glass

  • 4. Vertical surfaces ( walls and partitions)

  • 5. Dispensers clean, stocked and functional

  • 6. Floors swept and mopped/ clean appereance

  • 7. Horizontal surfaces ( sink counters, changing stations)

  • 8. Clean ventilation grills / light fixtures

Elevators

  • 1. Flooring

  • 2. Mirror, glass and stainless steel surfaces

  • 3. Elevator's tracks

More

  • Other Problems Found

  • Problems
  • Description

  • Add media

Sign Off

  • Inspector Signature

Corrective Actions

  • Corrective Actions that will be undertaken

  • Problem, Recommendation
  • Recommendation

  • Completed by

  • Completion Date

  • Follow Up Date

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.