Information
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Audit Title
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Document No.
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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
Offices
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Bins
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Soft floors
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Hard floors
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Vertical surfaces
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Furniture / fixtures / fittings / work surfaces
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Other furniture / fittings
Washrooms
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Bins
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Hard floors
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Vertical surfaces
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Partition / cubicle walls
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All surfaces
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Sanitary surfaces / hand contact areas
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Furniture / fixtures / fittings
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Mirrors / dispensers
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Consumables
Corridors / stairs / entrances / lifts
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Bins
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Soft floors
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Hard floors
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Vertical surfaces
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Furniture / fixtures / fittings / work surfaces
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Other furniture / fittings
Dining areas / rest rooms
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Bins
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Soft floors
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Hard floors
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Vertical surfaces
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Furniture / fixtures / fittings
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Table tops
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Mirrors / dispensers
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Provided facilities (ovens / microwaves / etc.)
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Consumables
Reception / Entrance
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Bins
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Soft floors - traffic lanes
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Soft floors - other areas
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Hard floors
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Vertical surfaces
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Furniture / fixtures / fittings
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Other areas
Authorisation signatures
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Auditor signature
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Manager Signature