Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Offices

  • Bins

  • Soft floors

  • Hard floors

  • Vertical surfaces

  • Furniture / fixtures / fittings / work surfaces

  • Other furniture / fittings

Washrooms

  • Bins

  • Hard floors

  • Vertical surfaces

  • Partition / cubicle walls

  • All surfaces

  • Sanitary surfaces / hand contact areas

  • Furniture / fixtures / fittings

  • Mirrors / dispensers

  • Consumables

Corridors / stairs / entrances / lifts

  • Bins

  • Soft floors

  • Hard floors

  • Vertical surfaces

  • Furniture / fixtures / fittings / work surfaces

  • Other furniture / fittings

Dining areas / rest rooms

  • Bins

  • Soft floors

  • Hard floors

  • Vertical surfaces

  • Furniture / fixtures / fittings

  • Table tops

  • Mirrors / dispensers

  • Provided facilities (ovens / microwaves / etc.)

  • Consumables

Reception / Entrance

  • Bins

  • Soft floors - traffic lanes

  • Soft floors - other areas

  • Hard floors

  • Vertical surfaces

  • Furniture / fixtures / fittings

  • Other areas

Authorisation signatures

  • Auditor signature

  • Manager 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.