Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Area One

  • Please state the area inspected?

  • Bins Emptied and Wiped Down?

  • Desks and Equipment Wiped Down?

  • Carpets Vacuumed?

  • Hard Floor Mopped?

  • Is there a build up of dust?

Area Two

  • Please state the area inspected?

  • Bins Emptied and Wiped Down?

  • Desks and Equipment Wiped Down?

  • Carpets Vacuumed?

  • Hard Floor Mopped?

  • Is there a build up of dust?

Area Three

  • Please state the area inspected?

  • Bins Emptied and Wiped Down?

  • Desks and Equipment Wiped Down?

  • Carpets Vacuumed?

  • Hard Floor Mopped?

  • Is there a build up of dust?

Area Four

  • Please state the area inspected?

  • Bins Emptied and Wiped Down?

  • Desks and Equipment Wiped Down?

  • Carpets Vacuumed?

  • Hard Floor Mopped?

  • Is there a build up of dust?

Kitchen & Canteen Areas

  • Please state the area inspected?

  • Sinks Cleaned?

  • Tables and Chairs Wiped Down?

  • Microwave Cleaned?

  • Fridge Cleaned?

  • Kitchen Cabinets Wiped Down?

  • Taps Descaled?

  • Hard Floor Mopped?

  • Carpets Vacuumed?

  • Sofas & Soft Furnishings Vacuumed?

  • Sides Wiped Down?

  • Is there a build up of dust?

Toilets

  • Please state the area inspected?

  • Toilets Cleaned?

  • Basins Cleaned?

  • Urinals Cleaned?

  • Taps Descaled?

  • Consumables Replenished?

  • Mirrors Cleaned?

  • Partitions Wiped Down?

  • Hard Floors Mopped?

  • Bins Emptied and Wiped Down?

  • Is there a build up of dust?

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.