Information

  • Area(s) under inspection:

  • Floor under inspection:

  • Conducted on

  • Inspected by:

Corridors & public areas

  • Item 1). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 2). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 3). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 4). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Notes:

Stairs & Lobbies

  • Item 1). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 2). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 3). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 4). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Notes:

Classrooms

  • Item 1). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 2). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 3). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 4). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 5). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 6). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 7). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 8). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Notes:

Washing Facilities

  • Item 1). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 2). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 3). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 4). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Notes:

Cleaners stores & equipment

  • Item 1). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 2). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 3). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Item 4). Reporting? please describe defect <br>

  • Please enter location / area / room etc.

  • Notes:

  • Please sign:

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.