Information

  • Document No.

  • Audit Title

  • Client / Site

  • Location
  • Conducted on

  • Personnel

  • Prepared by

  • Signature & Date

Pubic Entrances

  • Floors Swept, Mopped, and Cleaned?

  • Carpets and Rugs Clean and Vacuumed?

  • Walls Clean?

  • Furniture and Fixtures Clean and Dusted?

  • Air Vents Clean?

  • Outside Areas Clean?

  • Interior Glass Clean/Streak Free?

  • Exterior Glass Clean/Streak Free?

  • Comments

  • Pictures

Front Office (Reception)

  • All Trash Empty?

  • All Fixtures/Furniture Dusted?

  • Carpet Vaccumed?

  • Interior Glass Clean/Streak Free?

  • Exterior Glass Clean/Streak Free?

  • Walls Clean?

  • Metal Surfaces Clean?

  • Air Vents Clean?

  • Carpet Free of Spots?

  • Comments

  • Photos

Restrooms

Public Men's Restroom

  • All Trash Emptied?

  • Sink Clean and Sanitized?

  • Toilets and Fixtures Clean and Sanitized?

  • Walls Clean?

  • Glass Clean/Streak Free?

  • Floors Swept and Mopped?

  • Vents Clean?

  • Dispensers Clean and Filled?

  • Baby Changing Station Cleaned and Sanitized?

  • All Surfaces Dusted/Clean?

  • Comments

  • Add media

Public Ladies' Restroom

  • All Trash Emptied?

  • Sink Clean and Sanitized?

  • Toilets and Fixtures Clean and Sanitized?

  • Walls Clean?

  • Glass Clean/Streak Free?

  • Floors Swept and Mopped?

  • Vents Clean?

  • Dispensers Clean and Filled?

  • Baby Changing Station Cleaned and Sanitized?

  • All Surfaces Dusted/Clean?

  • Comments

  • Photos

Staff Men's RestroomStaf

  • All Trash Emptied?

  • Sink Clean and Sanitized?

  • Toilets and Fixtures Clean and Sanitized?

  • Walls Clean?

  • Glass Clean/Streak Free?

  • Floors Swept and Mopped?

  • Vents Clean?

  • Dispensers Clean and Filled?

  • Baby Changing Station Cleaned and Sanitized?

  • All Surfaces Dusted/Clean?

  • Comments

  • Photos

Staff Ladies' Restroom

  • All Trash Emptied?

  • Sink Clean and Sanitized?

  • Toilets and Fixtures Clean and Sanitized?

  • Walls Clean?

  • Glass Clean/Streak Free?

  • Floors Swept and Mopped?

  • Vents Clean?

  • Dispensers Clean and Filled?

  • Baby Changing Station Cleaned and Sanitized?

  • All Surfaces Dusted/Clean?

  • Comments

  • Photos

Family and Kids Common Area

  • All Trash Emptied?

  • Furniture/Cabinets Dusted?

  • Carpet Vacuumed?

  • Windows/Glass Clean & Streak Free?

  • Walls Clean?

  • Air Vents Clean?

  • All Fixtures Dusted?

  • Comments

  • Photos

Conference Room

  • All Trash Emptied?

  • All Fixtures/Furniture Cleaned & Dusted?

  • Tables, Chairs, Audio Equipment, Sink Wiped/Cleaned?

  • Carpet Vacuumed/Floor Swept and Mopped?

  • Walls Clean?

  • Air Vents Clean?

  • Interior/Exterior Glass Clean & Streak Free?

  • Comments

  • Photos

Break Area/Kitchen

  • All Trash Emptied?

  • All Tables, Counters, Appliances, Sinks Cleaned?

  • Floors Swept & Mopped/Vacuumed?

  • Walls Clean?

  • Air Vents Clean?

  • Dispensers Cleaned/Serviced?

  • All Furniture and Surfaces Dusted?

  • Comments

  • Photos

Waiting Room

  • All Trash Emptied?

  • All Furniture and Fixtures Dusted?

  • Floors Swept & Mopped/Vacuumed?

  • Interior/Exterior Glass Clean & Streak Free?

  • Walls Clean?

  • Air Vents Clean?

  • Comments

  • Photos

Interview Room(s)

  • All Trash Emptied?

  • <br>All Furniture and Fixtures Dusted?

  • Interior/Exterior Glass Clean & Streak Free?

  • <br>Floors Swept & Mopped/Vacuumed?

  • <br>Air Vents Clean?

  • Comments

  • Photos

Offices

  • All Trash Emptied?

  • Floors Swept & Mopped/Vacuumed?

  • All Furniture and Fixtures Dusted?

  • Interior/Exterior Glass Clean & Streak Free?

  • Air Vents Clean?

  • Comments

  • Photos

Copy Room

  • All Trash Emptied?

  • Floors Swept & Mopped/Vacuumed?

  • All Furniture and Fixtures Dusted?

  • Air Vents Clean?

  • Comments

  • Photos

Storage Room(s)

  • All Trash Emptied?

  • Floors Swept & Mopped/Vacuumed?

  • Air Vents Clean?

  • Comments

  • Photos

Worker Space/Cubicle Areas

  • All Trash Emptied?

  • Floors Swept & Mopped/Vacuumed?

  • All Furniture and Fixtures Dusted?

  • Interior/Exterior Glass Clean & Streak Free?

  • Air Vents Clean?

  • Comments

  • Photos

Medical File Area(s)

  • All Trash Emptied?

  • Floors Swept & Mopped/Vacuumed?

  • Air Vents Clean?

  • Comments

  • Photos

Corridors

  • All Trash Emptied?

  • Floors Swept & Mopped/Vacuumed?

  • Walls Clean?

  • All Furniture and Fixtures Dusted?

  • Air Vents Clean?

  • Comments

  • Photos

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.