Title Page

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Disclaimer and Confidentiality Statement

  • Disclaimer:
    The assessors believe the information contained within this report to be correct at the time of printing. The assessors do not accept any responsibility for any consequences arising from the use of the information herein. The report is based on matters which were observed or came to the attention of the assessors during the day of the assessment and should not be relied upon as an exhaustive report of all possible issues, risk or hazards, that may exist or potential improvements that can be made.

  • Confidentiality Statement:
    In order to maintain the integrity and credibility of the assessment process and to protect all parties involves, it is understood that the assessors will not divulge to unauthorised persons any information obtained during this assessment unless legally obliged to do so.

  • General office space internal condition and cleaning

  • Floors in good repair and clean?

  • Walls and ledges in good repair and clean?

  • Doors and Fire doors in good repair and clean?

  • Glazing, windows & window blinds in good repair and clean?

  • Ceiling & ceiling tiles in good repair and clean?

  • Lighting and small power in good repair and lighting trays clean?

  • Bins in good repair and clean?

  • Furniture in good repair and clean?

  • Kitchen / brew points, sinks, taps, white goods, counter tops and surfaces in good repair and clean?

  • Climate control systems working?

  • Travel areas

  • Lifts in good repair and clean?

  • Escalators in good repair and clean?

  • Stairs in good repair and clean?

  • Toilets internal condition and cleaning

  • All toilet furniture (toilet, toilet seat, urinal, sink, taps, mirrors, dispensers, hand dryers, other) in good repair?

  • All toilet fabric (floors, walls, ledges and counter tops, ceilings, doors, lighting, glazing, other) in good repair?

  • All areas of toilet clean, bins emptied / not over flowing and consumables stocked?

  • Climate control systems and extraction working?

  • Other areas, internal condition and cleaning

  • State areas. Add comments / images / actions in next field.

  • State areas & add comments:

  • External Condition

  • External fabric / materials (doors, glazing, ledges, roof, gutters & downpipes, signage) of the building on good repair?

  • External walkways, paths, steps and stairs in good repair and free from overgrown vegetation?

  • Lighting adequate and in good repair?

  • Car park, car park markings and barriers in good repair?

  • Shrubs, planters and greenery in good condition?

  • Any other issues not stated above?

  • Add signature

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.