Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Entrance

  • Outside Entry

  • Thresholds

  • Mats

  • Hard Floors / Corners

  • Glass / Sills

  • Entrance Pass?

  • Comments

Lobby

  • Carpet / Edges

  • Hard Floors / Corners

  • Glass / Sills

  • Dusting / Vents

  • Lobby Pass?

  • Comments

Elevators

  • Smell

  • Floor / Edges / Corners

  • Walls / Buttons

  • Ceiling

  • Elevators Pass?

  • Comments

Stairwells

  • Steps / Landings

  • Rails

  • Doors / Walls

  • Glass / Sills

  • Stairwells Pass?

  • Comments

Corridors / Aisles

  • Doors / Walls

  • Floors / Edges

  • Glass / Sills

  • Corridors / Aisles Pass?

  • Comments

Office Areas

  • Carpet / Edges

  • Hard Floors / Corners

  • Waste Baskets

  • Glass / Sills

  • Doors / Walls

  • Dusting / Vents

  • Office Areas Pass?

  • Comments

Conference Rooms

  • Carpet / Edges

  • Hard Floors / Corners

  • Glass / Sills

  • Tables / Chairs

  • Dusting / Vents

  • Conference Rooms Pass?

  • Comments

Kitchen / Break Areas

  • Hard Floors / Corners

  • Tables / Chairs

  • Waste Receptacles

  • Microwaves / Counters

  • Dispensers / Supplies

  • Dusting / Vents

  • Kitchen / Break Areas Pass?

  • Comments

Restrooms

  • Mirrors

  • Sinks

  • Chrome

  • Toilets / Urinals

  • Waste Receptacles

  • Dispensers / Supplies

  • Partitions

  • Dusting / Vents

  • Walls / Doors

  • Floors / Corners

  • Restrooms Pass?

  • Comments

Closets

  • Cleanliness

  • Organization

  • Equipment

  • OSHA

  • Stock

  • Closets Pass?

  • Comments

Facility Overall

  • Overall Cleanliness

  • Customer Satisfaction

Signatures

  • CFS Representative

  • Customer Representative

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.