Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

FACILITIES

Management

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

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Control Room

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

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Machine Room

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

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Crew Room

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

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Gantry and Corridors

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

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A BAY

Rear of units

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

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Smoking Area/Fire escape

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

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Basement Ramp - Upper

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

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B BAY

Rear of Units

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

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Car Parking

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

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Basement Office

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

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Basement Ramp - Lower

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

  • Add media

C BAY

Dock and Loading Bay

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

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Stairwell

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

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Rear of Units

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

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Blue Tiled Area/Irving Walk

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

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Other

  • Please rate the cleanliness of the area and enter comments where necessary. Take a photograph of anything that requires attention.

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SWAB TESTING

Test Area 1

  • Which of the following areas was tested?

  • Please take a photograph

  • Please enter the reading obtained

Test Area 2

  • Which of the following areas was tested?

  • Please take a photograph

  • Please enter the reading obtained

Test Area 3

  • Which of the following areas was tested?

  • Please take a photograph

  • Please enter the reading obtained

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.