COUNCIL - Indoor Areas

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• ENTRANCE

ENTRANCE AREA

• Area's Name

• Windows/Glass clean?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Cob Webs?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Floors clean?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Notes

Open Areas

• Area's Name

• Floors Vacuumed/Mopped?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Desks and Tables cleaned?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Glass windows/doors/partitions/display cabinets?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Bins empty and Bin liners clean?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Free of Dust and Cobwebs?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Notes

• OFFICE AREAS

OFFICE AREAS

• Area's Name

• Floors clean?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Desks/Tables - clean and sanitised?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Bins clean / Clean bin liner

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Dust/Cobwebs?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Notes

MEETING ROOMS

• Area's Name

• Floors clean?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Desks/Tables - clean and sanitised?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Bins empty and Bin liners clean?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Dust/Cobwebs?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Notes

Counselors Lounge

• Area's Name

• Floors clean?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Desks/Tables - clean and sanitised?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Bins empty and Bin liners clean?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Dust/Cobwebs?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Kitchen benches clean and sanitised?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Notes

STAIRWELL, HALLWAYS AND LIFTS

• Area's Name

• Stairwell clean?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Stair treads?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Lift button plates clean?

  YES

  NO

  N/A

• Chrome work?

  YES

  NO

  N/A

• Fittings/Equipment?

  YES

  NO

  N/A

• Notes

KITCHEN AND LUNCHROOM FACILITIES

• Area's Name

• Floors Cleaned?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Kitchen benches clean and sanitised?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Lunchroom consumables stocked?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Dishwashers loaded/unloaded and clean?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Bins empty and Bin liners clean in waste/recycling/compost?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Notes

TOILETS

• Area's Name

• Toilet Bowls/Pans/Seats and cistern - clean and sanitised?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Cubicles and doors - clean and sanitised?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Hand towel dispensers and soap dispensers - clean, sanitised and stocked?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Vanity and Hand basin - clean, sanitised?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Bins empty and Bin liners clean?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Mirrors clean?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Floors Cleaned?

  Select Immediate Action Required Requires Some Attention No Action Required/ Item Is Good N/A

  • Immediate Action Required
  • Requires Some Attention
  • No Action Required/ Item Is Good
  • N/A

• Notes

SAFETY

• Equipment condition?

  SAFE

  AT RISK/FAULTY

  N/A

• MSDS Folder on site?

  YES

  NO

  N/A

• Chemicals labelled and correctly used on site?

  YES

  NO

  N/A

• Equipment is tested and tagged?

  YES

  NO

  N/A

• Supplies well stocked?

  YES

  NO

  N/A

• Notes

OTHER

• Staff inducted on site?

  YES

  NO

  N/A

• Reportable OHS Incidents?

  No

  Yes

• Notes