Title Page

  • Document No.

  • Audit Title

  • Site

  • Conducted on

  • Prepared by

  • Personnel

Circulation Routes

  • Are the floors secured? I.e. loose tiles, uneven floor, loose carpet etc.

  • Are ceilings secured? Risk of falling debris?

  • Are there any visible tripping/slipping hazards?

  • Is there any obvious damage to walls/windows?

  • Are stairways, handrails and other railings secure and clear of tripping/slipping hazards?

  • Emergency Exits and fire doors are clear from obstruction and clearly visible?

  • Fire extinguishers are within service date?

  • Fire action signs/notices are clearly displayed?

Toilet Facilities

  • General cleanliness to a good standard?

  • Adequate provision of soap and toilet paper?

  • Adequate system for cleaning in place?

  • Water pressure and temperature of tap water is adequate? Are any taps not running?

KA Fitness Suite

  • Sufficient room between machines?

  • Are instructions clearly displayed on machines?

  • General housekeeping to a good standard? Free from tripping/slipping hazards?

  • Machines in good working order?

  • Cleaning and inspection records carried out by staff?

  • Service records up to date for gym equipment?

  • Emergency exits and fire doors are kept clear of obstruction and are clearly visible with approrpiate signage in place?

  • Do users receive an appropriate induction on their first time using the facility and is this properly recorded?

Summary

  • Additional Comments

  • Assessor 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.