Title Page

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Exterior

  • INSTRUCTIONS:
    -------------------------------------

    1. Answer “Pass”, “Fail”, “N/A” for each questions.
    2. Add photos and notes by clicking on the paperclip icon.
    3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF, Word, Excel or Web Link.

ATM

  • Cleaning Needs

  • Condition

  • Signage and Stickers

  • Vegetation State Requirements

  • Skimming Devices

Building

  • Painting Needs

  • Cleaning / Pressure Washing

  • Awning

  • Window and Frames

  • Door Appearance

  • ADA Auto Door Functioning

  • Foundation

  • Damage

  • Hose Bib

  • Utilities

Dumpster Enclosure

  • General Appearance

  • Container

  • Gate and Lock (4315)

Flag Pole

  • Pole Condition

  • Flag Condition

HVAC

  • Working Properly

  • Condensing Units Condition

  • Lines insulated

  • Airflow Around Condensing Unit

Irrigation

  • Noticeable Leaks

  • Broken Heads

  • Exposed Drip-lines

  • Valve Box Repairs

  • Back-flow Protected

  • Controller / Sensor Condition

Landscape

  • Tree Condition and Trimming

  • Bushes and Shrubs

  • Turf Cover

  • Weeds

  • Landscape Beds

  • Trash / Debris

  • Mulch / Crushed Granite Needs

  • Fence Condition

  • Pest Control

  • Improvement Needs

Lighting

  • Lights On During Day

  • Pole Condition

  • Broken / Missing Lens

  • Cleaning Needs

  • Photo Cell Condition

Motor Bank

  • Pneumatic Tube System Cleaning

  • Pneumatic Tube System Condition

  • Lane Condition

  • Bollard Damage / Covers

  • Bollards

  • Signage and Stickers

  • Canopy Condition

  • Deal Drawer Condition

  • Audio / Video

  • Deposit Stands Condition

Night Drop

  • Cleaning Needs

  • Condition

  • Weather Proofing

  • Signage and Stickers

Parking Lot / Pavement

  • Striping

  • ADA Symbols and Compliance

  • Curbs

  • Parking Lot Surface

  • Bollards

  • Trip Hazards / Expansion Joints

  • Cleaning Needs

Roof

  • Roof Access

  • Roof Drains

  • Visible Condition

Sidewalks

  • ADA Ramp

  • Trip Hazards / Expansion Joints

  • Cleaning Needs

  • Surface

Signs

  • Cleaning Needs

  • Painting / Replacement

  • ADA Signs

  • Condition

  • Please proceed to the next section.

Interior

ATM

  • Cleaning Needs

  • Condition

  • Signage and Stickers

  • Vegetation State Requirements

  • Skimming Devices

Break Room

  • Cleaning Needs

  • Sinks

  • Dispensers

  • Floor Drain

  • Appliances

  • Appliance Lines Copper or Stainless Steel Flex

  • Water Filters

  • Cabinets

  • Hard Surface Floor Condition

  • Ceiling Condition

  • Trip Hazard

  • Wall Condition

  • Blind / Shade Condition

  • Lights

  • Lights Out / Color Variation

  • Pest Control

  • Windows and Frames

  • Furniture Condition

  • Metal / Wood Condition

  • Exit Signs Illuminated

  • Fire Extinguishers Current

  • Smell / Odor

  • Doors

  • Electrical Covers / Switches

  • TV

Elevators

  • Cleaning Needs

  • Phone Working / Verify Address

  • Operational

  • Inspection

  • Lighting

  • Trip Hazards

  • General Condition

Interior Plants

  • Plant Condition

  • Container Condition

  • Plant Dressing

IT Room

  • Cleaning Needs

  • General Condition

  • Hazard and Cutter

  • Pest Control

  • Walls

  • Ceilings

  • Temperature

Janitorial Closet

  • Cleaning Needs

  • General Condition

  • Hazard and Cutter

  • Pest Control

  • Walls

  • Ceilings

  • Plumbing

  • Hazmats / MSDS

Lobby

  • Door Mat Condition

  • Hard Surface Floor Condition

  • Carpet Condition

  • General Cleaning

  • Ceiling Condition

  • Trip Hazard

  • Wall Condition

  • Blind / Shade Condition

  • Lights

  • Lights Out / Color Variation

  • Signage

  • Pest Control

  • Windows and Frames

  • Furniture Condition

  • Metal / Wood Condition

  • Exit Signs Illuminated

  • Fire Extinguishers Current

  • Greeter Station Condition

  • Teller Line Condition

  • Cabinet Repair

  • Smell / Odor

  • Doors

  • Electrical Covers / Switches

  • Book Case Condition

  • Mirror Condition

  • TV

  • Frost Room Rugs

Mechanical Room

  • Trip Hazards and Obstructions

  • Working Properly

  • Hazmats

  • General Condition

  • Mechanical Room Cleaning

  • Lighting

  • Pest Control

  • Electrical Panels

Offices

  • Hard Surface Floor Condition

  • Carpet Condition

  • General Cleaning

  • Ceiling Condition

  • Trip Hazard

  • Wall Condition

  • Blind / Shade Condition

  • Lights

  • Lights Out / Color Variation

  • Pest Control

  • Windows and Frames

  • Furniture Condition

  • Metal / Wood Condition

  • Fire Extinguishers Current

  • Cabinet Repair

  • Smell / Odor

  • Doors

  • Electrical Covers / Switches

Restroom - Men's

  • Smell / Odor

  • Cleaning

  • Dispensers

  • Toilet Seat Loose

  • Toilet and Faucets

  • Floor Drain

  • Urinal / Toilet Replacement

  • Water Fountain Functioning

  • Exhaust Vent

  • Mirror

  • Walls

  • Floors and Grout

  • Pest Control

  • Supply Storage

  • Hot Water

  • Ceilings

  • Electrical Outlets and Switches

  • Lighting

Restroom - Women's

  • Smell / Odor

  • Cleaning

  • Dispensers

  • Toilet Seat Loose

  • Toilet and Faucets

  • Floor Drain

  • Water Fountain Functioning

  • Exhaust Vent

  • Mirror

  • Walls

  • Floors and Grout

  • Pest Control

  • Supply Storage

  • Hot Water

  • Ceilings

  • Electrical Outlets and Switches

  • Lighting

Safe Deposit Vault / Viewing

  • Cleaning Needs

  • Trip Hazard

  • Wall Condition

  • Lighting

Teller Lines

  • Carpet Cleaning

  • Cleaning Needs

  • Ceiling

  • Trip Hazard

  • Walls

  • Blind / Shade

  • Lighting

  • Lights Out / Color Variation

  • Signage

  • Pest Control Issues

  • Windows and Frames

  • Furniture

  • Pneumatic Tube System Condition

  • Audio / Visual Equipment

  • Cabinet Repair

  • Deal Drawer Condition

  • Cash Safe Condition

  • Teller Ped Condition

  • Hard Surface Floor Condition

  • General Cleaning

  • Ceiling Condition

  • Trip Hazard

  • Pest Control

  • Windows and Frames

  • Furniture Condition

  • Metal / Wood Condition

  • Fire Extinguishers Current

  • Smell / Odor

  • Doors

  • Electrical Covers / Switches

Completion

  • Completed by

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.