Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Inspection report summary and information

  • Yes = 10 points

  • No = 0 points

Male Toilets

  • Toilet bowls clean

  • Seats and seat covers clean

  • Urinals free of lime scale

  • Bins emptied, liners replaced

  • Mirrors clean

  • Doors clean

  • Push and kick plates clean

  • Floor clean

  • Toilet requisite supply level

  • Toilet papers folded

  • Hand basins and tap clean

  • Walls clean

  • Soap replenished

  • Comments

  • Relevant photo/s

Female Toilets

  • Toilet bowls clean

  • Seats and seat covers clean

  • Bins emptied, liners replaced

  • Mirrors clean

  • Doors clean

  • Push and kick plates clean

  • Floor clean

  • Toilet requisite supply level

  • Toilet papers folded

  • Hand basins and tap clean

  • Walls clean

  • Soap replenished

  • Comments

  • Relevant photo/s

Disabled Toilets

  • Toilet bowls clean

  • Seats clean

  • Bins emptied, liners replaced

  • Mirrors clean

  • Doors clean

  • Push and kick plates clean

  • Floor clean

  • Toilet requisite supply level

  • Hand basins and tap clean

  • Walls clean

  • Soap replenished

  • Comments

  • Relevant photo/s

General

  • Is the cleaners cupboard locked?

Contractor's representative

  • 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.