Title Page

  • Conducted on

  • Prepared by

  • Location

Checklist

General

  • Doorknobs/frames/handles/other frequently touched areas on the doors

  • Locker doors/cubby holes/storage bins- racks and storage doors

  • Desks/tables/chairs and other sitting areas/counter tops/display cases

  • Hand railings

  • Light switches/control panels

  • Product Display racks-counters/mannequins/other display areas

  • Hand railings

  • Elevator buttons

  • Shared equipment (touchscreens, cash registers and drawers, computer keyboards, mice, iPad/hand-held devices, payment keypads, radios, etc..

  • Telephones/faxes/photocopiers/intercoms

  • Poster Frames/Wall displays-racks/shelves

  • Money bags/vault key pad or handle

Sign Off

  • Additional Notes

  • Name and Signature

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.