Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Retail Areas / Amenities

  • Notes

  • 1.1 - Free from trip hazards

  • 1.2 - All lights working

  • 1.3 - Lighting adequate for purpose

  • 1.4 - No exposed wiring on equipment

  • 1.5 - Temperatures within 19-23*

  • 1.6 - No evidence of unsafe practices

  • 1.7 - Rubbish / waste paper bins emptied

  • 1.8 - All mats and signage in place

  • 1.9 - Floors clean

2.0 - Bathrooms

  • Location

  • 2.1 - Floors clean

  • 2.2 - Cubicles clean

  • 2.3 - Toilet seats clean and working

  • 2.4 - Mirrors clean

  • 2.5 - Hand Towels and toilet paper stocked

  • 2.6 - Hand dryers and soap dispensers stocked and working

  • 2.7 - Taps working

3.0 - Parents Rooms

  • Location

  • 3.1 - Floors clean

  • 3.2 - Cubicles clean

  • 3.3 - Toilet seats clean and working

  • 3.4 - Mirrors clean

  • 3.5 - Hand Towels and toilet paper stocked

  • 3.6 - Microwave clean

  • 3.7 - Change tables, chairs and toys clean

4.0 - Dock Areas

  • Notes

  • 4.1 - No Dripping Taps

  • 4.2 - No Trip Hazards

  • 4.3 - Floors clean and free from debris

  • 4.4 - Free from Spills

  • 4.5 - No buildup of rubbish

  • 4.6 - Signage in place

  • 4.7 - Compactors / Bins clean

5.0 - Building Safety

  • 5.1 - Floor surfaces even and uncluttered?

  • 5.2 - Entry and walkways kept clear?

  • 5.3 - Walkways adequately and clearly marked?

  • 5.4 - Intersections kept clear of boxes etc?

  • 5.5 - Stair and risers kept clear?

  • 5.6 - Are liquid spills removed quickly?

  • 5.7 - Are railings in good condition?

  • 5.8 - Are fall preventive measures in place and used where gaps occur in railings?

  • 5.9 - Are footpaths in good condition?

  • 5.10 - Furniture in sound condition?

  • 5.11 - Loading area clean and tidy?

6.0 - Rubbish Removal

  • 6.1 - Bins located at suitable points around site?

  • 6.2 - Bins emptied regularly?

  • 6.3 - Oily rags and combustible refuse in covered metal containers?

7.0 - Car parks

  • 7.1 - Are all areas clean

  • 7.2 - All trollies stored correctly

  • 7.3 - Lighting ok

  • 7.4 - Line Marking adequate

  • Other specific issues identified

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Sign Off

  • On site representative

  • Auditor's 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.