Audit

PICK UP

Waste Bins

What is the observation?

Please photograph the observation

What are the areas of non conformance?

Please photograph the none conformance
DUST WIPE

Furniture

What is the observation

Please photograph the observation

What are the areas of non conformance?

Ledge/Sills

What is the observation

Please photograph the observation

What are the areas of non conformance?

Please photograph the non conformance

Glazing

What is the observation?

Please photograph the observation

What are the areas of non conformance?

High Level

What is the obervation

Please photograph the observation

What are the areas of non conformance?

Please photograph the non conformance
FLOOR

Carpet

What is the observation?

Please photograph the observation

What are the areas of non conformance?

Please photograph the non conformance

Hard Floor

What is the observation?

Please photograph the observation

What are the areas of non conformance?

Please photograph the non conformance

Stairs/Lift

What is the observation?

Please photograph the observation

What are the areas of non conformance?

Please photograph the non conformance
TOILETS

Sinks

What is the observation?

Please photograph the observation

What are the areas of non conformance?

Please photograph the non conformance

Urinals/W.C.s

What is the observation?

Please photograph the observation

What are the areas of non conformance?

Please photograph the non conformance

Fittings

What is the observation?

Please photograph the observation

What are the areas of non conformance?

Please photograph the non conformance

Floor

What is the observation?

Please photograph the observation

What are the areas of non conformance?

Please photograph the non conformance
PAPERWORK

Specification

What is the observation?

What are the areas of non conformance?

Work Instruction

What is the observation?

What are the areas of non conformance?

Training Sheet

What is the observation?

What are the areas of non conformance?

Dilution Rates

What is the observation?

What are the areas of non conformance?

Period Task Record

What is the observation?

What are the areas of non conformance?

CONCULSION

Summary:

Additional Cleaning Requirements:

Action to be taken:

Supervisors Signature:
Date:
Supervisors Signature:
Date:
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.