Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Floor(s)

1.0 - General Office Space

  • 1.1 Cleanliness: no general cleaning issues?

  • 1.2 Carpet condition: no frayed edges, hazards, stains, etc?

  • 1.3 Clear pathways: no obstructions in or around desks and common areas?

  • 1.4 Comfort: HVAC temp/flow stable and comfortable?

  • 1.5 Walls: in good condition?

  • 1.6 Doors and locks: no obvious issues? (meeting rooms, store rooms, etc)

  • 1.7 Lighting: Light levels adequate? No globes out?

  • 1.8 Breakout Furniture: Communal tables, fridges etc all per standards? No faults?

2.0 - Lift Foyer

  • 2.1 Clear pathways: no obstructions, mess, etc?

  • 2.2 Adequate lighting: light levels adequate and no lighting issues?

  • 2.3 Cleanliness: no general cleaning issues?

  • 2.4 Lighting: Light levels adequate? No globes out?

3.0 - Workstations

  • 3.1 Non standard power items: No fan heaters, power boards, or other electrical hazards?

  • 3.2 Adequate lighting: light levels adequate and no lighting issues?

  • 3.3 Pedestals: neatly stored, no additional units or desks without?

  • 3.4 Chairs: are set up correctly? No obvious faults?

  • 3.5 Cleanliness: no general cleaning issues?

4.0 - Print Room / Storage / Utility Spaces

  • 4.1 Storage: joinery intact, no damage or faults?

  • 4.2 Egress: safe pathways and access?

  • 4.3 Stock: stationery items reasonably stocked?

  • 4.4 Equipment: all equipment in place and without obvious issue?

  • 4.5 Cleanliness: area generally clean and without issue?

5.0 - Bathrooms

  • 5.1 Cleanliness: bathroom areas clean?

  • 5.2 Stock: all standard items stocked and neatly arranged?

  • 5.3 Equipment: taps, sinks, urinals etc all in good working order?

6.0 - Emergency Stairwell

  • 6.1 Handrails: no signs of damage or defect?

  • 6.2 Egress: paths clear and without obstruction? No hazards?

  • 6.3 Lighting: all lights working?

7.0 - Kitchen/Tea Rooms

  • 7.1 Stock: pantry items stocked?

  • 7.2 Cleanliness: kitchen/tea areas clean and tidy?

  • 7.3 Equipment: no obvious errors or faults on equipment?

8.0 - WHS (First Aid/Fire)

  • 8.1 First Aid Kits: stocked and in correct position?

  • 8.2 First Aid List: up to date and in correct position?

  • 8.3 Fire Warden lists: up to date and in correct position?

  • 8.4 Fire Items: Extinguishers/blankets in set positions? Service date compliant?

9.0 Balcony

  • 9.1 Cleanliness: clean, tidy, no mess or waste?

  • 9.2 Furniture: furniture at standard configuration and in working order?

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.