GREEN WORLD CLEANING

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Operation Theatre 1

• Vacuuming

  Yes

  No

  N/A

• Doors & Frames

  Yes

  No

  N/A

• Floor

  Yes

  No

  N/A

• Sanitary Ware

  Yes

  No

  N/A

• Sinks & Basins

  Yes

  No

  N/A

• Skirting boards

  Yes

  No

  N/A

• General Surface Cleaning

  Yes

  No

  N/A

• Skirting boards

  Yes

  No

  N/A

Operation Theatre 2

• Vacuuming

  Yes

  No

  N/A

• Doors & Frames

  Yes

  No

  N/A

• Sanitary Ware

  Yes

  No

  N/A

• Sinks & Basins

  Yes

  No

  N/A

• Floors

  Yes

  No

  N/A

• Skirting boards

  Yes

  No

  N/A

• General Surface Cleaning

  Yes

  No

  N/A

Anaesthetic pre-operating area (F005)

• Basin general surface cleaning

  Yes

  No

  N/A

• Doors & Glass

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Floor

  Yes

  No

  N/A

• Skirting Boards

  Yes

  No

  N/A

• Corners & Edges

  Yes

  No

  N/A

• Windows & Frames

  Yes

  No

  N/A

• Checkout Tops

  Yes

  No

  N/A

Anaesthetic pre-operating area (F023)

• Basin general surface cleaning

  Yes

  No

  N/A

• Doors & Glass

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Floor

  Yes

  No

  N/A

• Skirting Boards

  Yes

  No

  N/A

• Corners & Edges

  Yes

  No

  N/A

• Windows & Frames

  Yes

  No

  N/A

• Checkout Tops

  Yes

  No

  N/A

Laying up (F007)

• General Surface Cleaning

  Yes

  No

  N/A

• Vacuuming

  Yes

  No

  N/A

• Doors & Frames

  Yes

  No

  N/A

Laying up (F022)

• General Surface Cleaning

  Yes

  No

  N/A

• Vacuuming

  Yes

  No

  N/A

• Doors & Frames

  Yes

  No

  N/A

Clean storage

• Doors & Frames

  Yes

  No

  N/A

• General Surface Cleaning

  Yes

  No

  N/A

• Floors

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Corners & Edges

  Yes

  No

  N/A

Scrub up (F016)

• Doors & Frames

  Yes

  No

  N/A

• Floors

  Yes

  No

  N/A

• Sanitary Ware

  Yes

  No

  N/A

• Sinks & Basins

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

Dirty Utility

• Doors & Frames

  Yes

  No

  N/A

• Floors

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Auditor Signature

  Sign

• Customer Signature

  Sign