H&S

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Housekeeping

Bathrooms

• All Surfaces including tile grouting

  Yes

  No

  N/A

• Free from hair, grounge, soils, stains and debris

  Yes

  No

  N/A

• Toilet and all its parts (seat, tank, lid, bowl, caps and plumbing) are free of hair, debri, grunge, dust, stains and foul odor.

  Yes

  No

  N/A

• Imperfections (chips, scratches and loose)

  Yes

  No

  N/A

• Shower stall, bath and wash basin/sink are free of hair, debris, grunge, dust and stain.

  Yes

  No

  N/A

• The tap, temperature markings, drain and stopper are secured and functioning properly.

  Yes

  No

  N/A

• Weighing scale is clean, rust free and 0 tare.

  Yes

  No

  N/A

• Bathroom telephone is clean and tidy.

  Yes

  No

  N/A

• Rubber math or anti slippery math is clean and tidy.

  Yes

  No

  N/A

• Cloth line is available and clean and free from rust.

  Yes

  No

  N/A

• hairdryer is clean and free from marks, chips and dust.

  Yes

  No

  N/A

• Wallpaper is clean, tidy and free from any damage.

  Yes

  No

  N/A

Bath amenities

• amenities unused and fully stocked

  Yes

  No

  N/A

• Tissues not less than 1/3 full

  Yes

  No

  N/A

• Arrangement of amenities is present (actual)

  Yes

  No

  N/A

Wardrobe

• laundry folder is clean and not damaged.

  Yes

  No

  N/A

• Free from accumulated dust.

  Yes

  No

  N/A

• properly maintained.

  Yes

  No

  N/A

• Safe box instruction is available, neat and tidy

  Yes

  No

  N/A

Glasses, teacups, saucers, coffee makers

• teacups

  Yes

  No

  N/A

• high glass

  Yes

  No

  N/A

• kettle

  Yes

  No

  N/A

• coffee/tea trays

  Yes

  No

  N/A

Beds

• unwringkled

  Yes

  No

  N/A

• free from stain

  Yes

  No

  N/A

• free of hair

  Yes

  No

  N/A

Carpets and Floors

• Under the bed: dust free

  Yes

  No

  N/A

• Floor is clean

  Yes

  No

  N/A

• Behind curtain: clean and dust free

  Yes

  No

  N/A

• Behind night table; clean and dust free

  Yes

  No

  N/A

• Under TV Cabinet: clean and dust free

  Yes

  No

  N/A

• Behind doors: no accumulation of dirt and dust

  Yes

  No

  N/A

Curtains and Nets

• Clean and Neat (both blackout and sheer)

  Yes

  No

  N/A

• Wand / Pull is in good condition

  Yes

  No

  N/A

Waste Bins

• Odor

  Yes

  No

  N/A

• Damage

  Yes

  No

  N/A

Bedroom - Miscellaneous

• All collateral material on TV Cabinet, bed night table, desk and desk drawers are dust free and in good condition

  Yes

  No

  N/A

• All Electrical cables are free from dust and maintained safely.

  Yes

  No

  N/A

• Emergency exit plan is available and properly maintained at the back of main door.

  Yes

  No

  N/A

• Telephone is clean, tidy and in good working condition.

  Yes

  No

  N/A