Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Area One

  • Please state the rooms inspected?

  • Bins Emptied and Wiped Down?

  • Desks Cleaned and Glue Removed?

  • Carpets Vacuumed?

  • Glass Cleaned?

  • Sink Cleaned?

  • Is there a build up of dust?

  • Hard Floors Mopped?

Area Two

  • Please state the rooms inspected?

  • Bins Emptied and Wiped Down?

  • Desks Cleaned and Glue Removed?

  • Carpets Vacuumed?

  • Glass Cleaned?

  • Sink Cleaned?

  • Is there a build up of dust?

  • Hard Floors Mopped?

Area Three

  • Please state the rooms inspected?

  • Desks Cleaned and Glue Removed?

  • Bins Emptied and Wiped Down?

  • Carpets Vacuumed?

  • Glass Cleaned?

  • Sink Cleaned?

  • Is there a build up of dust?

  • Hard Floors Mopped?

Area Four

  • Please state the rooms inspected?

  • Desks Cleaned and Glue Removed?

  • Bins Emptied and Wiped Down?

  • Carpets Vacuumed?

  • Glass Cleaned?

  • Sink Cleaned?

  • Is there a build up of dust?

  • Hard Floors Mopped?

Area Five

  • Please state the rooms inspected?

  • Desks Cleaned and Glue Removed?

  • Bins Emptied and Wiped Down?

  • Carpets Vacuumed?

  • Glass Cleaned?

  • Sink Cleaned?

  • Is there a build up of dust?

  • Hard Floor Mopped?

Area Six

  • Please state the rooms inspected?

  • Desks Cleaned and Glue Removed

  • Bins Emptied and Wiped Down?

  • Carpets Vacuumed?

  • Glass Cleaned?

  • Sink Cleaned?

  • Is there a build up of dust?

  • Hard Floor Mopped?

Area Seven

  • Please state the rooms inspected?

  • Desks Cleaned and Glue Removed?

  • Bins Emptied and Wiped Down?

  • Carpets Vacuumed?

  • Glass Cleaned?

  • Sink Cleaned?

  • Is there a build up of dust?

  • Hard Floor Mopped?

Area Eight

  • Please state the rooms inspected?

  • Desks Cleaned and Glue Removed?

  • Bins Emptied and Wiped Down?

  • Carpets Vacuumed?

  • Glass Cleaned?

  • Sink Cleaned?

  • Is there a build up of dust?

  • Hard Floor Mopped?

Area Nine

  • Please state the rooms inspected?

  • Desks Cleaned and Glue Removed?

  • Bins Emptied and Wiped Down?

  • Carpets Vacuumed?

  • Glass Cleaned?

  • Sink Cleaned?

  • Is there a build up of dust?

  • Hard floor Mopped?

Area Ten

  • Please state the rooms inspected?

  • Desks Cleaned and Glue Removed?

  • Bins Emptied and Wiped Down?

  • Carpets Vacuumed?

  • Glass Cleaned?

  • Sink Cleaned?

  • Is there a build up of dust?

  • Hard Floor Mopped?

Toilets

  • Please state which toilets were inspected?

  • Toilets Cleaned?

  • Mirrors Cleaned?

  • Basins Cleaned?

  • Floors Swept & Washed?

  • Urinals Cleaned?

  • Consumables Replenished?

  • Bins Emptied and Wiped Down?

  • Tiles Surfaces and Walls 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.