Cleaning and Sanitation assessment

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Previous Audit

• 1.1 - Have actions from last audit been completed?

  Yes

  No

  N/A

2.0 - Pre Checks

• 2.1 - Have employees received chemical awareness training?

  Yes

  No

  N/A

• 2.2 - Have employees received how to clean training?

  Yes

  No

  N/A

• 2.3 - Are safety data sheets available?

  Yes

  No

  N/A

• 2.4 - Are chemical containers appropriately labelled?

  Yes

  No

  N/A

• 2.5 - Are all chemicals suitably stored (proper segregation etc.)

  Yes

  No

  N/A

• 2.6 - Is PPE suitable PPE readily available and being used?

  Yes

  No

  N/A

• 2.7 - Is correct cleaning equipment available?

  Yes

  No

  N/A

• 2.8 - Is there a clear work plan and system for cleaners?

  Yes

  No

  N/A

3.0 - Step 1 - Dry Clean

• 3.1 - All solid waste removed?

  Yes

  No

  N/A

• 3.2 - All electrical equipment suitably covered?

  Yes

  No

  N/A

• 3.3 - All packaging and finished product removed from area?

  Yes

  No

  N/A

• 3.4 - Started in a timely manner (no delays)

  Yes

  No

  N/A

• 3.5 - Equipment suitable for job?

  Yes

  No

  N/A

• 3.6 - Any equipment requiring disassembly completed?

  Yes

  No

  N/A

4.0 - Step 2 - Rough Down

• 4.1 - Good top to bottom methodology used?

  Yes

  No

  N/A

• 4.2 - Majority of bulk soiling removed prior to foaming?

  Yes

  No

  N/A

• 4.3 - Process flow followed?

  Yes

  No

  N/A

• 4.4 - Suitable water temperature used?

  Yes

  No

  N/A

• 4.5 - Was rough down completed within a suitable time period?

  Yes

  No

  N/A

5.0 - Step 3 - Foaming

• 5.1 - Good bottom up methodology?

  Yes

  No

  N/A

• 5.2 - Correct chemical strength?

  Yes

  No

  N/A

• 5.3 - Good foam coverage?

  Yes

  No

  N/A

• 5.4 - Correct residence time

  Yes

  No

  N/A

• 5.5 - Foam removed before being left to dry on surface?

  Yes

  No

  N/A

• 5.6 - PPE worn?

  Yes

  No

  N/A

6.0 - Step 4 - Manual scrub

• 6.1 - Is the correct colour coded equipment used for the area?

  Yes

  No

  N/A

• 6.2 - Brushes/scouring pads in suitable condition?

  Yes

  No

  N/A

• 6.3 - Scrubbing after suitable residence time?

  Yes

  No

  N/A

• 6.4 - All areas well scrubbed?

  Yes

  No

  N/A

• 6.5 - Correct PPE worn?

  Yes

  No

  N/A

7.0 - Step 5 - Rinse off

• 7.1 - Good top down methodology?

  Yes

  No

  N/A

• 7.2 - Suitable water temperature used?

  Yes

  No

  N/A

• 7.3 - Completed in timely manner prior to foam drying onto surfaces

  Yes

  No

  N/A

• 7.4 - Suitable flow followed to prevent cross contamination?

  Yes

  No

  N/A

8.0 - Step 6 - Detailing

• 8.1 - Correct strength chemical used?

  Yes

  No

  N/A

• 8.2 - Rinse off completed as you go?

  Yes

  No

  N/A

• 8.3 - Equipment being inspected for any faults?

  Yes

  No

  N/A

• 8.4 - All areas inspected and cleaned sufficiently?

  Yes

  No

  N/A

9.0 - Step 7 - Sanitise

• 9.1 - Correct chemical strength?

  Yes

  No

  N/A

• 9.2 - All surfaces sufficiently cleaned prior to sanitise?

  Yes

  No

  N/A

• 9.3 - Correct contact time observed?

  Yes

  No

  N/A

10.0 - Step 8 - Final rinse and clean up

• 10.1 - All chemical rinsed from all surfaces?

  Yes

  No

  N/A

• 10.2 - Correct top down methodology being used?

  Yes

  No

  N/A

• 10.3 - All equipment (including hoses) cleaned and sanitised prior to storage?

  Yes

  No

  N/A

• 10.4 - All equipment stored clean dry and sanitised?

  Yes

  No

  N/A

11.0 Final check and pre op

• 11.1 - All surfaces of acceptable clean standard?

  Yes

  No

  N/A

• 11.2 - No pooling of water?

  Yes

  No

  N/A

Actions list

• Actions

Action

• Action

• Responsibility -who

• Planned completion date

  Date

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign