Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Road, Carpark, Front Entrance

  • Bin Enclosure - Clean, tidy and free of cob webs

  • What further action is required?

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  • Car Park - Clean, tidy and free of cob webs

  • What further action is required?

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  • Gardening - Tidy and no weeds

  • What further action is required?

  • Upload a picture

  • Outdoor Entrance - Windows, walls are clean and no cob webs

  • What further action is required?

  • Upload a picture

  • Other
  • Is there any other concerns?

  • What is the concern?

  • What further action is required?

  • Upload Picture

Reception

  • Front Desk - Clean, tidy and organised

  • What further action is required?

  • Upload a picture

  • Cupboards - Clean, tidy and organised

  • What further action is required?

  • Upload a picture

  • Floors - Clean and tidy (Check for stains)

  • What further action is required?

  • Upload a picture

  • Windows - Clean and clear

  • What further action is required?

  • Upload a picture

  • Skirting Boards - Clean and Dust Free

  • What further action is required?

  • Upload a picture

  • Walls/Ceiling and Window Seal - Clean, no marks/stains and no cob webs

  • What further action is required?

  • Upload a picture

  • Air Conditioning Vents - Clean, Dust Free, and in good condition

  • What further action is required?

  • Upload a picture

  • Bins - Clean, Dust Free, and in good condition (Check Inside)

  • What further action is required?

  • Upload a picture

  • Light and Light Switches - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Hand Dispensers - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Door Handles - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Other
  • Is there any other concerns?

  • What is the concern?

  • What further action is required?

  • Upload Picture

Office

  • Cupboards - Clean, tidy and organised

  • What further action is required?

  • Upload a picture

  • Floors - Clean and tidy (Check for stains)

  • What further action is required?

  • Upload a picture

  • Windows - Clean and clear

  • What further action is required?

  • Upload a picture

  • Skirting Boards - Clean and Dust Free

  • What further action is required?

  • Upload a picture

  • Walls/Ceiling and Window Seal - Clean, no marks/stains and no cob webs

  • What further action is required?

  • Upload a picture

  • Air Conditioning Vents - Clean, Dust Free, and in good condition

  • What further action is required?

  • Upload a picture

  • Bins - Clean, Dust Free, and in good condition (Check Inside)

  • What further action is required?

  • Upload a picture

  • Light and Light Switches - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Hand Dispensers - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Other
  • Is there any other concerns?

  • What is the concern?

  • What further action is required?

  • Upload Picture

Staff Room

  • Cupboards - Clean, tidy and organised

  • What further action is required?

  • Upload a picture

  • Floors - Clean and tidy (Check for stains)

  • What further action is required?

  • Upload a picture

  • Windows - Clean and clear

  • What further action is required?

  • Upload a picture

  • Skirting Boards - Clean and Dust Free

  • What further action is required?

  • Upload a picture

  • Walls/Ceiling and Window Seal - Clean, no marks/stains and no cob webs

  • What further action is required?

  • Upload a picture

  • Air Conditioning Vents - Clean, Dust Free, and in good condition

  • What further action is required?

  • Upload a picture

  • Bins - Clean, Dust Free, and in good condition (Check Inside)

  • What further action is required?

  • Upload a picture

  • Light and Light Switches - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Hand Dispensers - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Door Handles - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Sink - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Fridge - Clean and no off food

  • What further action is required?

  • Upload a picture

  • Appliances - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Lockers - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Other
  • Is there any other concerns?

  • What is the concern?

  • What further action is required?

  • Upload Picture

Hallway

  • Cupboards - Clean, tidy and organised

  • What further action is required?

  • Upload a picture

  • Floors - Clean and tidy (Check for stains)

  • What further action is required?

  • Upload a picture

  • Windows - Clean and clear

  • What further action is required?

  • Upload a picture

  • Skirting Boards - Clean and Dust Free

  • What further action is required?

  • Upload a picture

  • Walls/Ceiling and Window Seal - Clean, no marks/stains and no cob webs

  • What further action is required?

  • Upload a picture

  • Air Conditioning Vents - Clean, Dust Free, and in good condition

  • What further action is required?

  • Upload a picture

  • Light and Light Switches - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Hand Dispensers - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Door Handles - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Other
  • Is there any other concerns?

  • What is the concern?

  • What further action is required?

  • Upload Picture

Adult Bathroom

  • Cupboards - Clean, tidy and organised

  • What further action is required?

  • Upload a picture

  • Floors - Clean and tidy (Check for stains)

  • What further action is required?

  • Upload a picture

  • Windows - Clean and clear

  • What further action is required?

  • Upload a picture

  • Skirting Boards - Clean and Dust Free

  • What further action is required?

  • Upload a picture

  • Walls/Ceiling and Window Seal - Clean, no marks/stains and no cob webs

  • What further action is required?

  • Upload a picture

  • Air Conditioning Vents - Clean, Dust Free, and in good condition

  • What further action is required?

  • Upload a picture

  • Bins - Clean, Dust Free, and in good condition (Check Inside)

  • What further action is required?

  • Upload a picture

  • Light and Light Switches - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Hand Dispensers - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Door Handles - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Toilet - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Sink - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Mirror - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Toilet Paper/Hand Towel Dispensers - Clean, in good condition and stocked

  • What further action is required?

  • Upload a picture

  • Other
  • Is there any other concerns?

  • What is the concern?

  • What further action is required?

  • Upload Picture

Laundry

  • Cupboards - Clean, tidy and organised

  • What further action is required?

  • Upload a picture

  • Floors - Clean and tidy (Check for stains)

  • What further action is required?

  • Upload a picture

  • Windows - Clean and clear

  • What further action is required?

  • Upload a picture

  • Skirting Boards - Clean and Dust Free

  • What further action is required?

  • Upload a picture

  • Walls/Ceiling and Window Seal - Clean, no marks/stains and no cob webs

  • What further action is required?

  • Upload a picture

  • Air Conditioning Vents - Clean, Dust Free, and in good condition

  • What further action is required?

  • Upload a picture

  • Bins - Clean, Dust Free, and in good condition (Check Inside)

  • What further action is required?

  • Upload a picture

  • Light and Light Switches - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Hand Dispensers - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Door Handles - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Bench Tops - Clean, scratch free and not congested

  • What further action is required?

  • Upload a picture

  • Sink - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Chemical Dispenser - Clean and in good condition

  • What further action is required?

  • Upload a picture

  • Mops - Clean and in good condition ( Red, Green, Blue Mops & Buckets)

  • What further action is required?

  • Upload a picture

  • Toilet Paper/Hand Towel Dispensers - Clean, in good condition and stocked

  • What further action is required?

  • Upload a picture

  • Washing Machine/Dryer - Clean and dust free (Check lint traps and detergent drawer)

  • What further action is required?

  • Upload a picture

  • Other
  • Is there any other concerns?

  • What is the concern?

  • What further action is required?

  • Upload Picture

Kitchen

  • Cupboards - Clean, tidy and organised

  • What further action is required?

  • Upload a picture

  • Floors - Clean and tidy (Check for stains)

  • What further action is required?

  • Upload a picture

  • Windows - Clean and clear

  • What further action is required?

  • Upload a picture

  • Skirting Boards - Clean and Dust Free

  • What further action is required?

  • Upload a picture

  • Walls/Ceiling and Window Seal - Clean, no marks/stains and no cob webs

  • What further action is required?

  • Upload a picture

  • Air Conditioning Vents - Clean, Dust Free, and in good condition

  • What further action is required?

  • Upload a picture

  • Bins - Clean, Dust Free, and in good condition (Check Inside)

  • What further action is required?

  • Upload a picture

  • Light and Light Switches - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Hand Dispensers - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Door Handles - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Bench Tops - Clean, scratch free and not congested

  • What further action is required?

  • Upload a picture

  • Sink - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Chemical Dispenser - Clean and in good condition

  • What further action is required?

  • Upload a picture

  • Toilet Paper/Hand Towel Dispensers - Clean, in good condition and stocked

  • What further action is required?

  • Upload a picture

  • Appliances - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Dishwasher - Clean, in good condition (check cleanliness of inside)

  • What further action is required?

  • Upload a picture

  • Fridge and Freezer - Clean, dust free and no old/unwrapped food

  • What further action is required?

  • Upload a picture

  • Oven - Clean and in good condition

  • What further action is required?

  • Upload a picture

  • Food Trolley - Clean, Organized and in good condition

  • What further action is required?

  • Upload a picture

  • Other
  • Is there any other concerns?

  • What is the concern?

  • What further action is required?

  • Upload Picture

Storeroom

  • Cupboards - Clean, tidy and organised

  • What further action is required?

  • Upload a picture

  • Floors - Clean and tidy (Check for stains)

  • What further action is required?

  • Upload a picture

  • Skirting Boards - Clean and Dust Free

  • What further action is required?

  • Upload a picture

  • Walls/Ceiling and Window Seal - Clean, no marks/stains and no cob webs

  • What further action is required?

  • Upload a picture

  • Light and Light Switches - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Door Handles - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Other
  • Is there any other concerns?

  • What is the concern?

  • What further action is required?

  • Upload Picture

Child Room

    Child Room
  • Cupboards - Clean, tidy and organised

  • What further action is required?

  • Upload a picture

  • Floors - Clean and tidy (Check for stains)

  • What further action is required?

  • Upload a picture

  • Windows - Clean and clear

  • What further action is required?

  • Upload a picture

  • Skirting Boards - Clean and Dust Free

  • What further action is required?

  • Upload a picture

  • Walls/Ceiling and Window Seal - Clean, no marks/stains and no cob webs

  • What further action is required?

  • Upload a picture

  • Air Conditioning Vents - Clean, Dust Free, and in good condition

  • What further action is required?

  • Upload a picture

  • Bins - Clean, Dust Free, and in good condition (Check Inside)

  • What further action is required?

  • Upload a picture

  • Light and Light Switches - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Hand Dispensers - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Door Handles - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Room overall appearance is tidy and organized

  • What further action is required?

  • Upload a picture

  • Other
  • Sliding Door Track ( Dirt & Sand ) - Door Tracks Clean ?

  • What is the concern?

  • What further action is required?

  • Upload Picture

Prep Room

    Prep Room
  • Cupboards - Clean, tidy and organised

  • What further action is required?

  • Upload a picture

  • Floors - Clean and tidy (Check for stains)

  • What further action is required?

  • Upload a picture

  • Windows - Clean and clear

  • What further action is required?

  • Upload a picture

  • Skirting Boards - Clean and Dust Free

  • What further action is required?

  • Upload a picture

  • Walls/Ceiling and Window Seal - Clean, no marks/stains and no cob webs

  • What further action is required?

  • Upload a picture

  • Air Conditioning Vents - Clean, Dust Free, and in good condition

  • What further action is required?

  • Upload a picture

  • Bins - Clean, Dust Free, and in good condition (Check Inside)

  • What further action is required?

  • Upload a picture

  • Light and Light Switches - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Hand Dispensers - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Door Handles - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Sink - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Fridge - Clean, dust free and in good condition

  • What further action is required?

  • Upload a picture

  • Other Appliances - Clean, dust free and in good condition

  • What further action is required?

  • Upload a picture

  • Toilet Paper/Hand Towel Dispensers - Clean, in good condition and stocked

  • What further action is required?

  • Upload a picture

  • Other
  • Is there any other concerns?

  • What is the concern?

  • What further action is required?

  • Upload Picture

Child Bathroom

    Child Bathroom
  • Cupboards - Clean, tidy and organised

  • What further action is required?

  • Upload a picture

  • Floors - Clean and tidy (Check for stains)

  • What further action is required?

  • Upload a picture

  • Windows - Clean and clear

  • What further action is required?

  • Upload a picture

  • Skirting Boards - Clean and Dust Free

  • What further action is required?

  • Upload a picture

  • Walls/Ceiling and Window Seal - Clean, no marks/stains and no cob webs

  • What further action is required?

  • Upload a picture

  • Air Conditioning Vents - Clean, Dust Free, and in good condition

  • What further action is required?

  • Upload a picture

  • Bins - Clean, Dust Free, and in good condition (Check Inside)

  • What further action is required?

  • Upload a picture

  • Light and Light Switches - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Hand Dispensers - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Door Handles - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Toilets - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Toilet foot stools clean

  • What further action is required?

  • Upload a picture

  • Sinks - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Mirror - Clean and dust free

  • What further action is required?

  • Upload a picture

  • Toilet Paper/Hand Towel Dispensers - Clean, in good condition and stocked

  • What further action is required?

  • Upload a picture

  • Other
  • Is there any other concerns?

  • What is the concern?

  • What further action is required?

  • Upload Picture

Yards

    Yard
  • Outdoor Shelving - Tidy and in good condition

  • What further action is required?

  • Upload a picture

  • Cob Webs - Yard is free of cob webs

  • What further action is required?

  • Upload a picture

  • Bark chips and sand - Clean and tidy

  • What further action is required?

  • Upload a picture

  • Fencing - Clean and good condition

  • What further action is required?

  • Upload a picture

  • Overall garden appearance - Well maintained (check weeds)

  • What further action is required?

  • Upload a picture

  • Other
  • Is there any other concerns?

  • What is the concern?

  • What further action is required?

  • Upload Picture

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.