Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Entrance

  • Floors, edges and corners

  • Windows

  • Ledges

  • High level dusting

Corridors

  • Floors, edges and corners

  • Low level dusting

  • High level dusting

  • Walls

  • Staircase

  • Internal glass

  • Lift

Main Lounge

  • Floors, edges and corners

  • Chairs

  • Low level dusting

  • High level dusting

  • Walls

Laundry

  • Floors, edges and corners

  • Surfaces

  • Walls

Male Toilets

  • Toilet bowl, seat and urinals

  • Floors, edges and corners

  • Walls

  • Cubicle walls and doors

  • High level dusting

  • Sink and taps

  • Bins

Female Toilets

  • Toilet bowl and seat

  • Floors, edges and corners

  • Walls

  • Cubicle walls and doors

  • High level dusting

  • Sink and taps

  • Bins

Health and Safety

  • Equipment in good working order

  • Electrical equipment PAT tested

  • RAMS onsite and up to date

  • COSHH details onsite and available

  • Chemicals Stored Correctly

  • Cleaners in uniform

  • Cleaning store clean and tidy

Action Plan

  • Action plan completed

  • Action plan required from this inspection

Signatures

  • Area Manager Signature

  • Client 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.