VILLAGE OPS - Village Strip & Seal Floor Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Village Strip & Seal Floor Inspection

• Add location
  Address

• Select date

  Date

• Add signature

  Sign

• Have the staff had correct training to complete the task.

  Yes

  No

  N/A

• Are staff using the correct PPE for task.

  Yes

  No

  N/A

• Do staff have the correct equipment for task

  Yes

  No

  N/A

• Are the strip and sealing procedure being carried out in a safe manner

  Yes

  No

  N/A

• Is the floor non slip or not safe to residents/staff

  Yes

  No

  N/A

• Is the Chemicals storage correctly

  Yes

  No

  N/A

• Is the chemical being used correct

  Yes

  No

  N/A

• Is the floor sealing of high standard

  Yes

  No

  N/A

• Is the bathroom and toilet floor sealing of high standard

  Yes

  No

  N/A

• Has a note be left for the resident to say the room has been entered.

  Yes

  No

  N/A