Title Page

  • Document No.

  • Audit Title

  • Frequency of Clean

  • Conducted on

  • Prepared by

  • Cleaned by

  • Location

Overall Rating

  • Rating

Entrance Areas, Corridors, Landings, Stairs

  • Flooring (especially edges, corners and behind doors) to be free from dust, debris, and dirt build-up

  • All areas to be free from cobweb build-up

  • Skirtings, ledges, fixtures, and fittings to be free from dust, debris, and dirt build-up

  • Bannisters and railings to be free from dust and dirt build-up

  • Communal doors to be free from dust and dirt build-up

  • Internal glass to be free from dirt build-up and smears

  • Stair treads to be free from dirt and dust build-up

  • Walls to be free from marks where possible

  • Comments:

  • Photos

Lift

  • Applicable?

  • Flooring (especially edges, corners and behind doors) to be free from dust, debris, and dirt build-up

  • All areas to be free from cobweb build-up

  • All surfaces to be free from dust, debris, and dirt build-up

  • Door runners to be as free from dirt and debris build-up as possible

  • Mirrors to be free from dirt build-up and smears

  • Comments

  • Photos

Toilets

  • Applicable?

  • Toilet bowls and urinals to be free from limescale and dirt build-up

  • Sink free from limescale and dirt build-up

  • Flooring (especially edges, corners and behind doors) to be free from dust, debris, and dirt build-up

  • All areas to be free from cobweb build-up

  • Skirtings, ledges, fixtures, and fittings to be free from dust, debris, and soap build-up

  • Mirrors to be free from dirt build-up and smears

  • Tiles/walls to be free from water marks, soap build-up and dust

  • Comments

  • Photos

Kitchen

  • Applicable?

  • Sink free from limescale and dirt build-up (metal sinks to be free from water marks)

  • Flooring (especially edges, corners and behind doors) to be free from dust, debris, and dirt build-up

  • All areas to be free from cobweb build-up

  • Skirtings, ledges, fixtures, and fittings to be free from dust, debris, and dirt build-up

  • Tiles/walls to be free from water marks, spillage build-up and dust

  • White goods to be free from dust, dirt, and spillage build-up

  • Comments

  • Photos

Laundry Rooms

  • Applicable?

  • Tops, fronts, and drawers of machines to be free from dust and soap build-up

  • Sink free from limescale and dirt build-up (metal sinks to be free from water marks)

  • Behind machines to be free from dust and debris build-up

  • Flooring (especially edges, corners and behind doors) to be free from dust, debris, and dirt build-up

  • All areas to be free from cobweb build-up

  • Skirtings, ledges, fixtures, and fittings to be free from dust, debris, and soap build-up

  • Tiles/walls to be free from water marks, soap build-up and dust

  • Comments

  • Photos

Window Cleaning

  • Windows to be free from spotting, smears, dirt build-up and any residual tape or blu-tack

  • Trim, panels, frames, and ledges to be free from dirt, dust, debris, and cobweb build-up

  • Comments

  • Photos

Comments and Recommendations

  • Comments and Recommendations

  • Photos

  • Assessor

  • Second Assessor if required

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.