Title Page

  • Site conducted

  • Attendant's Name

  • Room Number

  • Conducted on

  • Prepared by (person conducting Audit)

  • Additional Personnel

  • Door and walls are clean and free of marks

  • Toilet is clean

  • Toilet paper tipped and Klenex in tissue container

  • Vents over toilet are clean

  • Sinks are Clean

  • Bath Mirror and Make up Mirror are clean and Free of dust

  • Bath Amenities (shower cap, mouthwash, body lotion, 1 soap) VIP/Suite ( dental kit, shaving kit, emery board and comb)

  • Linen Re-Use is Displayed

  • Q tip container Complete (2 Q-Tips, 2 Cotton Balls)

  • Terry presentation meets standard (3 wash cloths, 3 hand towels, 3 towels (king)/4 towels (dbl))

  • Sink cubbies are Clean

  • Trash can is clean

  • Floor is clean and free of hair

  • Shower tub is clean ( 1 soap )

  • Bath Amenities (shower gel, shampoo, conditioner, )

  • Shower Liner , Curtain are clean and in good condition

  • Celling is Clean

  • Add additional pictures if needed:

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.