Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Time In

Building 1

  • Conference Rooms

  • Breakrooms

  • Restrooms

  • Floor Rails

  • Dusting

  • Windows

  • Carpet Spotting

  • Add media

Labs

  • Terminal Clean

  • Log Filled Out

  • Add media

Building 2

  • Restrooms

  • Labs

  • Carpet Spotting

  • Add media

Building 2 East

Level 1

  • Restrooms

  • Conference Rooms

  • Breakrooms

  • Carpet Spotting

  • Add media

Level 2

  • Restrooms

  • Conference Rooms

  • Breakrooms

  • Carpet Spotting

  • Add media

Building 3

  • Restrooms

  • Lobby

  • Conference Rooms

  • Breakrooms

  • Carpet Spotting

  • Add media

Cafeteria B4

  • Restrooms

  • Nurse's Office

  • Microwaves

  • Add media

Building 5A

  • Restrooms

  • Conference Rooms

  • Carpet Spotting

  • Add media

Building 5 West

  • Restrooms

  • Conference Rooms

  • Carpet Spotting

  • Add media

Building 5 East

  • Auditorium

  • Restrooms

  • Lobby

  • Conference Rooms

  • Carpet Spotting

  • Add media

Building 6

  • Restrooms

  • Conference Rooms

  • Carpet Spotting

  • Add media

Building 7

  • Restrooms

  • Conference Rooms

  • Carpet Spotting

  • Add media

Building 8

  • Restrooms

  • Conference Rooms

  • Carpet Spotting

  • Door Marks

  • Add media

Building 9

  • Restrooms

  • Conference Rooms

  • Carpet Spotting

  • Door Marks

  • Add media

Security

  • Doors Locked

Non ISS Personnel

    Other People Working in Area
  • Location

  • Number of People

Maintenance Items

    Equipment Issues or Comments
  • Add media

  • Time Out

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.