Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Section I: Interior (General Assessment of Building Interior) SOW: Section 3.3

  • Location Name:

  • Ceilings (no visible stains or damage, sprinkler head bezels in place and aligned, ceiling penetrations properly sealed)

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  • Walls (Check for wall damage, check repair for quality, etc.)

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  • Doors and Door Hardware (Check proper operation of main hallway doors)

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  • Floors and Carpet Condition (Loose, broken tile, loose carpet, etc.)

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  • Cabinetry & Millwork (surfaces in good condition, doors and drawers hung straight and operating properly, hardware is complete)

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  • Coffee Stations (Check for leaks, supply pressure, proper draining, aerator, cabinet condition)

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  • Interior Lights (Burned out lights, improper tubes -warm white vs. cool white)

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  • Cubical Lighting (fixtures clean with no missing parts or pieces, fixtures operating properly)

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  • Interior Signage (Proper installation and condition, posters posted no longer than assigned date)

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  • Light Fixtures (Visually inspect for dirty or broken fixtures)

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  • Drinking Fountains (Check temperature, supply pressure, proper draining, deposits)

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Section II: Roof SOW: Section 3.3.4

  • Location Name:

  • Roof drains are free of debris.

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  • Roof is free of foreign debris, tools, portable ladders, etc.

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  • Inspect for standing water and associated signs of cracking

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  • Roof metal is in good condition, properly secured and adequately sealed.

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  • Roof membrane is intact, in good condition and generally watertight

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  • Ballast, where applicable, is providing proper coverage.

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  • Fall protection equipment is in place and current documentation is in place confirming proper employee training.

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Section III: Exterior SOW: Sections 3.2.7 & 3.3

  • Location Name:

  • Roof (Assess condition age, active leaks, drains clear of debris, flashing; refer to roof inspection checklist)

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  • Fences and Gates (damage, rust, cycle gates for proper operation)

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  • Sidewalk (Chalking, Flaking, Cracking, path lighting, bollards, etc.)

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  • Parking Lot (5 year maintenance plan available, check asphalt condition, other hazards etc)

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  • Lights (Conditions of lights, lights out, traffic signals properly functioning, panels and controls labeled properly)

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  • Building Condition (Check windows, siding etc.)

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  • Doors and Door Hardware (Check proper operation of major entry doors)

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  • Exterior Signage & Flags (Proper installation and condition)

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  • Outdoor Shelters & Furniture (Check condition)

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Section IV: Restrooms (General Assessment of Restrooms)

  • Location Name:

  • Check Stall Hardware (Adjust doors to closed position, if necessary)

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  • Faucets (Check for leaks supply pressure, proper draining, aerator)

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  • Sloan Valves (Flush All Toilets and Urinals and check proper operation)

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  • Walls, Doors and Door Hardware, Floors and Carpet, etc (see details under Building Interior, above)

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Section V: Scorecard Averages

  • Section I: Interior

  • Section II: Roof

  • Section III: Exterior

  • Section IV: Restrooms

  • Overall Average Site Score:

Inspection Verification

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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.