Title Page

  • Inspection Reference Number

  • Acceptable Score - 75%

  • Inspection Date and Time

  • Inspector Name

  • Line

  • Station

  • Station

  • Location

Documentation

  • Documentation (MP&I, COSHH/SDS, Tool Box Talk, Checklist, Tag, Record)

  • Staff Appearance (Uniform, PPE) And Personal Hygiene

Cleanliness Of Station Platform 1

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Elevators

  • Escalators

  • Staircase

  • Platform Screen Door (PSD) Non-Lineside

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Hard Floor

Cleanliness Of Station Platform 2

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Elevators

  • Escalators

  • Staircase

  • Platform Screen Door (PSD) Non-Lineside

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Hard Floor

Cleanliness Of Station Platform 3

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Elevators

  • Escalators

  • Staircase

  • Platform Screen Door (PSD) Non-Lineside

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Hard Floor

Cleanliness Of Station Platform 4

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Elevators

  • Escalators

  • Staircase

  • Platform Screen Door (PSD) Non-Lineside

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Hard Floor

Cleanliness Of Offices ( Ticket, Administrative)

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Ticket Vending Machine And Automatic Fare Gates

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Soft Floor

  • Hard Floor

Cleanliness Of Station Concourse And Mezzanine Level 1

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Elevators

  • Escalators

  • Staircase

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Hard Floor

Cleanliness Of Station Concourse And Mezzanine Level 2

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Elevators

  • Escalators

  • Staircase

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Hard Floor

Cleanliness Of Female Toilet

  • Documentation (Checklist Record)

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Hard Floor

  • Sanitary Fixtures And Fittings (Including Counter And Sink)

  • Wc Bowl / Urinals

  • Waste Bins Status

  • Consumables (Replenished And Adequately Available)

Cleanliness Of Male Toilet

  • Documentation (Checklist Record)

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Hard Floor

  • Sanitary Fixtures And Fittings (Including Counter And Sink)

  • Wc Bowl / Urinals

  • Waste Bins Status

  • Consumables (Replenished And Adequately Available)

Cleanliness Of Prayer Room And Ablution Room

  • Documentation (Checklist Record)

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Hard Floor

  • Soft Floor

  • Sanitary Fixtures And Fittings (Including Counter And Sink)

  • Waste Bins Status

  • Consumables (Replenished And Adequately Available)

Cleanliness Of Walkways/Footbridge 1

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Hard Floor

Cleanliness Of Walkways/Footbridge 2

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Hard Floor

Cleanliness Of Walkways/Footbridge 3

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Hard Floor

Cleanliness Of Walkways/Footbridge 4

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Hard Floor

Cleanliness Of Exit/Entrance Interior And Exterior 1

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Elevators

  • Escalators

  • Staircase

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Hard Floor

Cleanliness Of Exit/Entrance Interior And Exterior 2

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Elevators

  • Escalators

  • Staircase

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Hard Floor

Cleanliness Of Exit/Entrance Interior And Exterior 3

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Elevators

  • Escalators

  • Staircase

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Hard Floor

Cleanliness Of Exit/Entrance Interior And Exterior 4

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Elevators

  • Escalators

  • Staircase

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Hard Floor

Cleanliness P&R Car Park

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Hard Floor

Cleanliness P&R Lobby<br>

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Elevators

  • Escalators

  • Staircase

  • Waste Bins Status

  • Furniture (Seating), Fixture And Fittings

  • Hard Floor

Cleanliness Of Back Of House

  • Low And High Level Ceilings, Air Conditioning Vents, And Lighting Fixture’S Cover, Display And Signages

  • Vertical Surfaces (Wall, Steel Work, Ledges, Doors, Display Screens/Signage/Maps, Glazing/Glass, Louvers, Structural Support, Partition, Mirror)

  • Offices And Staff Room (Smr, Police Room, Safety Room Etc..)

  • Store And Janitorial Room

  • Trash Room / Waste Holding Area

  • Hard Floor

  • Staircase

Pest Control

  • Pest Trap Management

  • Pest Treatment

Cleanliness Of Exterior Areas

  • Platform - Exterior Low Level And High Level [All Vertical And Horizontal Finishes (Glazing/Glass, Wall, Louvers) Fixtures, Roof, Lineside Psd]

  • Concourse And Mezzanine - Exterior Low Level And High Level [All Vertical And Horizontal Finishes (Glazing/Glass, Wall, Louvers) Fixtures, Roof]

  • Walkways/Footbridge - Exterior Low Level And High Level [All Vertical And Horizontal Finishes (Glazing/Glass, Wall, Louvers) Fixtures, Roof]

  • Exit/Entrance - Exterior Low Level And High Level [All Vertical And Horizontal Finishes (Glazing/Glass, Wall, Louvers) Fixtures, Roof] & Exterior Fixtures And Fittings (Bicycle Rack, Bollards, Barrier, Light Poles, Landscape Fixtures, Waste Bin Etc.)

  • Back Of House - Exterior Low Level And High Level [All Vertical And Horizontal Finishes (Glazing/Glass, Wall, Louvers) Fixtures, Roof]

  • P&R Car Park - Exterior Low Level And High Level [All Vertical And Horizontal Finishes (Glazing/Glass, Wall, Louvers) Fixtures, Roof] & Exterior Fixtures And Fittings (Bicycle Rack, Bollards, Barrier, Light Poles, Landscape Fixtures, Waste Bin Etc.)

  • Depot Buildings - Exterior Low Level And High Level [All Vertical And Horizontal Finishes (Glazing/Glass, Wall, Louvers) Fixtures, Roof]

Signature

  • 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.