Title Page

  • Inspection No.

  • Inspection Title

  • Prepared by

  • Client / Site

  • Conducted on

  • Location

Entrances

  • Entrance/Exterior - Steps, entry Glass, doors/frames, Cobwebs, Bins

  • Lobbies - Foyer, furniture , plant boxes, picture frames

  • Lifts - Doors interior/exterior, surfaces interior/exterior & tracks

  • Glass - high foyer glasses & cobwebs

  • Stairs - Hand rails, steps,passageways

  • Fire - Fire exit doors & hose reel cupboards

  • Car park - edges, rubbish and garden beds

Offices/Meeting Rooms/ Auditoriums

  • Office/dusting - Tables, chairs, shiners, furniture, air vents & high dusting

  • Bins - Recycling & waste bins

  • Window sills - Ledges, cobwebs & blinds

  • Office Equipment- Computers, phone & printers

  • Hard Surface - Swept, mopped/auto scrubbed & removal of stains/spillages

  • Floors - Condition of polish or surfaces of residual floors

  • Floors - Condition of polish or surfaces of residual floors

  • Skirting - Corners, kick plates & edges

  • Carpets - Spotting of carpet removing stains/spillages

  • Vacuuming - Vacuuming under the tables, seats, furniture, corners & edges

  • Walls / light switches - partitions, surfaces, around the light switches

  • Windows/ Glass/Mirrors - internal partition & shell

Kitchen / Staff Rooms

  • Sink - around the sink & drains

  • Benches/ Cupboards

  • Kitchen tables

  • Windows - partitions, Ledges & sills

  • Microwave/ Refrigerator/ other Appliances

  • Walls / light switches - partitions, surfaces, around the light switches

  • Hard Surface - Swept, mopped/auto scrubbed & removal of stains/spillages

  • Floors - Condition of polish or surfaces of residual floors

  • Skirting - Corners, kick plates & edges

Toilets/Showers

  • Toilets - bowls, Urinals, seats & lids

  • Sinks - Basins,taps & drain

  • Windows/ Glass/Mirrors - internal partition & shell

  • Walls / partitions

  • Doors - air grills, kick plates & doors handles

  • Air vents

  • Bins - waste containers

  • Showers - tiles, glass & taps

  • Consumables

  • Hard Surface - Swept, mopped/auto scrubbed & removal of stains/spillages

  • Floors - Condition of polish or surfaces of residual floors

  • Skirting - Corners, kick plates & edges

Cleaners Rooms/Machineries/ OH & S

  • Cleaners room clean & tidy

  • Communication/ Sign In & Out book in order

  • Cleaners wearing uniforms/IDs

  • Machineries - Good working condition

  • Machineries - Test & Tag up to date

  • Chemicals clearly labelled

  • Material sheet Data Sheet on site & up to date

  • PPE Equipment supplied & utilised

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.