Title Page

  • Conducted on

  • Location
  • Inspector(s)

Housekeeping Inspection Area 1

Housekeeping Inspection

  • Inspection Area

  • Is the floor area free of unwanted items?

  • Are walls free of old posters, calendars, pictures , notices etc?

  • Is there a general clutter free appearance?

  • Are areas designated for waste management well signed and in good order?

  • Are cables/wires/pipes safely stored so that they do not create a trip hazard?

  • Are tools and/or equipment stored neatly and correctly?

  • Is cleaning equipment provided, used and stored neatly?

Further Actions

  • Are any other issues identified? (Please give photographic evidence)

  • Inspector Sign Off

  • Person Responsible of Inspected Area Sign Off

Housekeeping Inspection Area 2

Housekeeping Inspection

  • Inspection Area

  • Is the floor area free of unwanted items?

  • Are walls free of old posters, calendars, pictures , notices etc?

  • Is there a general clutter free appearance?

  • Are areas designated for waste management well signed and in good order?

  • Are cables/wires/pipes safely stored so that they do not create a trip hazard?

  • Are tools and/or equipment stored neatly and correctly?

  • Is cleaning equipment provided, used and stored neatly?

Further Actions

  • Are any other issues identified? (Please give photographic evidence)

  • Inspector Sign Off

  • Person Responsible of Inspected Area Sign Off

Housekeeping Inspection Area 3

Housekeeping Inspection

  • Inspection Area

  • Is the floor area free of unwanted items?

  • Are walls free of old posters, calendars, pictures , notices etc?

  • Is there a general clutter free appearance?

  • Are areas designated for waste management well signed and in good order?

  • Are cables/wires/pipes safely stored so that they do not create a trip hazard?

  • Are tools and/or equipment stored neatly and correctly?

  • Is cleaning equipment provided, used and stored neatly?

Further Actions

  • Are any other issues identified? (Please give photographic evidence)

  • Inspector Sign Off

  • Person Responsible of Inspected Area Sign Off

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