Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Exterior

  • Parking area is free of trash/debris

  • Walkways are clear and free of slip/trip hazards

  • Parking lot lighting is operational and well lit, without dark spots

  • Landscaping is neat/trim and free of excessive weeds/debris

  • Building entryways are clean and free of trash/debris; no slip/trip hazards

Building Interior Entry

Building Interior Entry

  • Lobby/entrance is neat/clean; floors are clean; glass is clean; walk-off mats clean (1st impressions)

  • Lobby/entrance lighting is operational and well lit

  • Lobby/entrance doors and hardware operating properly

Common Areas

  • Hallway lighting is operational and well lit

  • Hallways are clear of boxes/debris; no slip/trip hazards exist

  • Hallway floors are clean and maintained to a high level

  • Stairwells are clean and free of trash/debris; no slip/trip hazards exist

  • Seating areas are clean, dust free and maintained to a high level

  • Glass, picture frames, railings and trim are clean and dust free

Restrooms

  • Doors and hardware operating properly

  • Restroom lighting is operational and well lit

  • Doors and walls are dust free and clean of dirt build-up, smudges or hand prints

  • Glass and mirrors are clean and streak free

  • Sinks, faucets and soap dispensers are clean, polished and operating properly without drips

  • Commodes are clean, seats in good shape/tight and flush valves are clean, polished and operating properly

  • Tissue, hand towels, dryers and soap dispensers filled and in good working order

Office / Cubicle Areas

  • Area lighting is operational and well lit

  • Aisles are free of boxes/debris/furniture and no slip/trip hazards exist

  • Floors are clean and maintained to a high level

  • Doors and walls are dust free and clean of dirt build-up, smudges or hand prints

  • Desks/chairs/cabinets are functional and free of dirt/dust build-up

Conference Rooms

  • Room lighting is operational and well lit

  • Entry, closet and cabinet doors/hardware are functional and operating properly

  • Floors are clean and maintained to a high level

  • Doors and walls are dust free and clean of dirt build-up, smudges or hand prints

  • Tables and chairs are clean and free of dirt/dust build-up

  • Whiteboards are clean and streak-free

Mechanical / Maintenance Rooms

  • Room lighting is operational and well lit

  • Entry, closet and cabinet doors/hardware are functional and operating properly

  • Floors are clean and maintained; Aisles/walkways are free of boxes/debris and no slip/trip hazards exist

  • Room is being utilized properly; no storage items exist other than maintenance supplies/tools

  • No exposed wiring, boxes/panels have covers and are properly secured

  • Electrical rooms have proper caution boundaries oultined in front of panels; no supplies/storage items exist

  • Tools are in good working order and properly maintained/stored

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.