Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

ENTRANCES

  • Are entrances/exit doors clean and free of any marks and litter?

  • If applicable, are walk off mats in good condition?

  • Are the walls free of spots/dirt?

  • Are the lights clean and dust free?

  • Are all signages clean?

  • Did you receive a favorable 'impression' when entering the area?

MEETING/BOARDROOMS

  • Are entrance/exit doors clean and free of marks?

  • Are walls free of marks?

  • Are desks and chairs free of dust and marks?

  • Are phones disinfected and clean?

  • Are all lights clean and dust free?

  • Are power skirtings, lights, wall arts clean and free of dust?

  • Are air vents/air cons clean and free of dust?

  • Are windows free of marks?

  • Are blinds clean and free of dust marks?

OPEN PLAN OFFICE

  • Are walls free of marks?

  • Are desks and chairs clean and free of dust marks?

  • Are waste bins properly maintained?

  • Are floors clean and free of litter?

  • Are windows clean and free of marks?

  • Are cupboards, shelves clean and free of dust marks?

  • Are all lights clean and dust free?

CANTEEN

  • Are tables and chairs clean and free of marks?

  • Are floors clean and free of litter?

  • Are dustbins maintained and at an acceptable level?

  • Are windows clean and free of marks?

  • Did you receive a favorable 'impression' upon entering the canteen?

  • Are the serving stations clean and free of food waste?

KITCHEN

  • Are vents clean and free of dust?

  • Are lights clean and free of dust?

  • Are floors clean and free of spills?

  • Are basins clean and free of excess water?

  • Are waste bins maintained and at an acceptable level?

  • Are waste bins disinfected inside and outside?

  • Are soap dispensers clean?

  • Are splash backs clean and free of any marks?

  • Are shelves clean and free of marks?

  • Are kitchen equipment clean and free of marks and not rusted?

ABLUTION FACILITIES

  • Are floors clean and free of litter?

  • Are toilets clean and free of marks?

  • Are basins and taps clean?

  • Are urinals clean?

  • Are hygiene equipment clean and filled?

  • Are door handles clean and free of marks?

STAFF INTERACTION

  • Are staff well groomed?

  • Are staff polite?

  • Could staff answer questions regarding their cleaning?

  • Is the attendance register signed?

  • Are the staff showing a positive attitude?

CLEANING EQUIPMENT/MATERIALS

  • Are the vacuum cleaners clean?

  • Are mops and brooms in a good condition?

  • Is the storage area clean and free of litter?

  • Are the cloths in good condition?

  • Are all chemicals labelled and MSDS sheets present?

  • Facilities Manager Signature

  • Service Provider Signature

  • Client 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.