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, 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 and wear the required PPE.

Silos (100T & 1000T)

  • 100T silo area has been cleaned and washed down.

  • Why was the task not completed?

  • Date

  • 100T silo conveyor and motors have been washed down.

  • Why was the task not completed?

  • Date

  • 1000t silo area has been cleaned and washed down.

  • Why was the task not completed?

  • Date

  • 1000T silo conveyor and motors have been washed down.

  • Why was this task not completed

  • Date

  • Has the surrounding area been left clean & tidy

  • Why was this task not completed

  • Date

  • 100T silo area has been cleaned and washed down.

  • Date

  • Why was this task not completed

  • Ensure all areas are left clean and tidy return all equipment to their designated locations. Complete this inspection when all areas are clean. You only need one cleaning record per month.

Grain processing plant

  • I have washed and cleaned all walls and fixtures in the grain processing plant.

  • Date completed?

  • I have cleaned and washed down the floor of the grain processing outside area

  • Date completed?

  • All equipment used to complete this task has been returned to the correct location.

  • Ensure all areas are left clean and tidy and return all equipment to their designated locations. Complete this inspection when all areas are clean. You only need one cleaning record per month.

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.