Title Page

  • Client / Site

  • Conducted on

  • Prepared by

  • Manager Seen

Car parks and Gardens (If Applicable)

  • Are the car parks, gardens and trolley bays clean and free of rubbish and leaves?

Entrances from inside

  • Are Brass and glass clean and polished? is the entrance area vacuumed/mopped?

Public Bar/Restaurant Area

  • Have all carpets and floors been vacuumed and mopped? Are all bar fronts clean? Are all pictures, mirrors & push & kick plates clean (if applicable)?

Tables & Chairs (Periodic)

  • Are all table, table legs, chair backs and legs clean?

Skirting boards, Ledges & Light shades (Periodic)

  • Have skirting boards, ledges and light shades been dusted?

Door partitions (Periodic)

  • Have all door partitions been cleaned?

Dusting & Webs

  • Have all areas been dusted and free of cobwebs?

Gaming Machines (If Applicable)

  • Have all gaming machines been cleaned? Front, side and tops

Fire Places (If Applicable)

  • Are all fire places free from any debris and clean?

High Accessible Areas

  • Are all high area free from cobwebs, dust and other high accessible areas?

Staff Toilets (If Applicable)

  • Are toilets, urinals, basins, mirrors, vanities, hand dryers, doors, wall tiles, ledges, windows and floors clean? Free from graffiti and rubbish? Are all toiletries full? Are push & kick plates cleaned? are all bins emptied?

Ladies Toilets

  • Are toilets, basins, mirrors, vanities, hand dryers, doors, wall tiles, ledges, windows and floors clean? Free from graffiti and rubbish? Are all toiletries full? Are push plates & kick plates clean? are all bins emptied?

Male Toilets

  • Are toilets, urinals, basins, mirrors, vanities, hand dryers, doors, wall tiles, ledges, windows and floors clean? Free from graffiti and rubbish? Are all toiletries full? Are push & kick plates clean? are all bins emptied?

Disabled Toilet and Parents Rooms

  • Are toilets, basins, mirrors, vanities, hand dryers, doors, wall tiles, ledges, windows and floors clean? Free from graffiti and rubbish? Are all toiletries full? Are push & kick plates clean? are all bins emptied?

Manager comments

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Signatures

  • Area Manager

  • Site Manager

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.