BSA UB

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Property Name:

• Report date

  Date

• Start time

• Finish time

BSM/Cleaning

• Buildings Walk

  Safe

  At Risk

  N/A

• Detail of any issue/faults identified

• Picture of issue/fault

  Media

• Fire Control Panel

  Safe

  At Risk

  N/A

• Detail of any issue/faults identified

• Picture of issue/fault

  Media

• Smoke Vents

  Safe

  At Risk

  N/A

• Detail of any issue/faults identified

• Picture of issue/fault

  Media

• Lifts

  Safe

  At Risk

  N/A

• Detail of any issue/faults identified

• Picture of issue/fault

  Media

• Regular Waste Out/In

  Safe

  At Risk

  N/A

• Recycled Waste Out/In

  Safe

  At Risk

  N/A

• Water Pumps

  Safe

  At Risk

  N/A

• Detail of any issue/faults identified

• Picture of issue/fault

  Media

• Waste Pumps

  Safe

  At Risk

  N/A

• Detail of any issue/faults identified

• Picture of issue/fault

  Media

• Lamping and Bulbs

  Safe

  At Risk

  N/A

• Detail of any issue/faults identified

• Picture of issue/fault

  Media

Cleaning

• Vacuum Carpeted Areas

  Yes

  No

  N/A

• Landing Vacuuming

  Yes

  No

  N/A

• Stairways and Foyer Vacuuming

  Yes

  No

  N/A

• Internal Foyers (Floors, Glass, Surfaces & Woodwork)

  Yes

  No

  N/A

• Foyer Flooring- Internal Paving & Wood Floors

  Yes

  No

  N/A

• Landing Surfaces

  Yes

  No

  N/A

• Stairwell Surfaces

  Yes

  No

  N/A

• Foyer Walls (inc Mail Boxes & Skirting Boards)

  Yes

  No

  N/A

• Bin Stores

  Yes

  No

  N/A

• Lifts (internal and foyer)

  Yes

  No

  N/A

• Car Park- Litter (inc cigarette butts) and Sweep

  Yes

  No

  N/A

• Any additional cleaning undertaken

• Picture of any additional cleaning completed

  Media

• Any additional cleaning requirements (please detail)

• Picture of any additional issue/fault

  Media

Cleaning Materials

• Any requirements for cleaning materials (please list):

Fault Management

• Have all faults (identified above) been reported to Property Manager or Co-ordinator

  Yes

  No

  N/A

• Any additional information

Tenant/Leaseholder Requests

• Number of meter readings provided:

• Number of bulbs replaced:

• Number of fobs replaced

Landlord Meter Readings (nb. These are required weekly not daily)

• Rate 1:

• Rate 2:

• Total:

• Notes:

BSA Signature

• Add signature

  Sign