Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Use this record to fill in the cleaning tasks that have been completed throughout the current month. Complete this inspection at the end of the month or once all tasks for the month have been completed. Only one record will be required per month, take notes and media of any areas that require attention or pose safety hazards. Follow all relevant JSEA's and Work Instructions when completing tasks wear the required PPE.

Outloading bins

  • The out loading bin and surrounding area have been cleaned? (Complete this monthly)

  • Why was this task not completed

  • Date

LPG refuel station

  • The LPG refuel station and surrounding area have been cleaned? (Complete monthly)

  • Date

  • Why was this task not completed

Feedmill Guttering & Drains

  • Neil's Parts fenceline and gutter cleaned? (Complete this as required on the cleaning schedule)

  • Date

  • Why has the guttering not been cleaned

  • The feed mill guttering has been cleaned

  • Date

  • Why has the guttering not been cleaned

Press floor roof

  • The press floor outside roof has been cleaned? (Complete as required on the cleaning schedule)

  • Why was this task not completed

  • Date

Control room roof

  • The control roof has been cleaned? (Complete as required on the cleaning schedule)

  • Why was this task not completed

  • Date

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.