Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Reception
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Floors, edges and corners
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Entrance glass
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Reception desk area
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Carpets vacuumed
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Cobwebs
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Windows, ledges and skirting boards
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Walls
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Bins
General Areas
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Stairs vacuumed, mopped
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Balustrades clean
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Lifts vacuumed, mopped. Walls free from marks. Mirror cleaned
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Walkways vacuumed, mopped
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Walls wiped down and free from marks
Gents toilet
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Toilet bowls, seats, urinals
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Walls
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Bins
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Floors, edges and corners
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Ledges and grills
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High level dusting
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Sinks and taps
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Cubical walls & doors
Ladies toilet
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Toilet bowls & seats
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Walls
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Bins
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Floors, edges and corners
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Ledges and grills
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High level dusting
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Sinks and taps
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Cubical walls & doors
Office area
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Bins
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Floors, edges and corners
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Windows and ledges
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Skirting boards
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Carpets vacuumed
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Doors and handles
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Desks and shelves (where cleared)
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Internal glass panels
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Walls
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Cobwebs
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Chairs
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Lifts
Kitchen/Staff rooms
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Sinks & worktops
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Tables and chairs
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Floors, edges and corners
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External white goods
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Internal white goods
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Dishwasher loaded/unloaded
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Cobwebs
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Walls
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Windows & ledges
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Bins
Building Exterior
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Front entrance
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Bins
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Hard floors swept
Health and Safety
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Equipment in good working order
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Electrical equipment PAT tested
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RAMS up to date and available
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COSHH details onsite and in date
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Chemicals stored correctly
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Cleaners in uniform and ID badge
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Cleaners store clean and tidy
Action Plan
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Previous action plan completed
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Action plan required for this inspection
Signatures
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Area Manager signature
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Client Signature