Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 Building

1.1.0 Administrative Parameters

  • 1.1.1. Assigned warden or Hostel representative (e.g trainee)

  • 1.1.2. Number of rooms available

  • 1.1.3. Number of occupants present

1.2.0 Structural Integrity

  • 1.2.1. Walls appear straight and not emitting crackling noises.

  • 1.2.2. Floors sturdy, no cracks, no signs of water damage or other faults.

  • 1.2.3. Ceiling in tact, not sagging, not stripping, no signs of damage or faults.

1.3.0 Safety and Risk Management

  • 1.3.1. Fire responding instrument (extinguishers, alarms etc.) present, working and located conspicuously?

  • 1.3.2. Emergency exits free from obstruction, adequately marked and designed appropriately?

  • 1.3.3. Evacuation route erected conspicuously with clear instructions?

  • 1.3.4. Hallways, passages and corridors free from obstruction?

  • 1.3.5. Adequate signage for safety and accident prevention?

  • 1.3.6. Any hazards present?

  • List hazzards.

  • 1.3.7. Stairways, corridors etc adequately outfitted with handrails, non slip floors with sound finishing and other fittings for the physically challenged?

1.4.0 Lighting

  • 1.4.1. Are there any provisions for natural lighting?

  • 1.4.2. Are windows adequately designed to capture maximum wind flow?

  • 1.4.3. Windows are clean, no missing slots or signs of damage or faults?

  • 1.4.4. Emergency lighting systems available and functional?

  • 1.4.5. Electrical panels/rooms restricted to authorised personnel, closed and located in a suitably strategic location?

  • 1.4.6. Light switches working properly?

  • 1.4.7. Light bulbs/fittings covered, not broken or faulty?

1.5.0 Ventilation

  • 1.5.1. Windows designed to suitably capture maximum inflow of fresh air?

  • 1.5.2. Windows are clean, durable, and show no signs of damage or faults?

  • 1.5.3. Are there any artificial ventilation system in place?

  • Tick all that applies.

  • Are vents, ducts, filters etc clean and functioning?

1.6.0 Water Supply

  • 1.6.1. Water source/ supplier.

  • 1.6.2. Identify emergency supply storage.

  • 1.6.3. Are all pipes (waste water, traps, hot water pipes etc) in good working condition and show no signs of faults?

  • 1.6.4. Are all taps/ faucets working, limescale free and in tact?

  • 1.6.5 Is there a water heating in place?

  • Is it working, well maintained and producing suitably heated water?

  • Are water heaters located in a strategically restricted site and separated from regular traffic or activities?

1.7.0 Common Rooms

  • 1.7.1. List common areas.

  • 1.7.2. Condition of walls, floors and ceiling.

  • 1.7.3. Condition of furniture and appliances.

  • 1.7.4. Condition of infrastructure such as sinks, cupboards, cabinets and closets

1.8.0 Store Rooms

  • 1.8.1 Are items stored appropriately off the floor, wall and ceiling?

  • 1.8.2. Are items clean, dust free and stored orderly?

  • 1.8.3. Store room appears clean, well lit, ventilated and organised?

  • 1.8.4. Store rooms free from unnecessary items, missiles, litter and other wastes?

2.0 Compound

  • 2.1. Lawns, plants and trees are suitably cultured and not overgrown or present any safety hazards.

  • 2.2. Building is sufficiently encompassed by perimeter fencing to hinder unauthorised access.

  • 2.3. Entrance, patios, verandahs etc are clean, structurally sound and provide sufficient safety and privacy as needed.

  • 2.4. Drainage system present, adequately maintained and functioning.

  • 2.5. Grounds free from litter and appears well kept.

  • 2.6. Grounds free from water-related nuisances such as water stagnation or leakage from septic tank/inspection chamber.

  • 2.7. Grounds free from vector harbourage sites.

3.0 Bedrooms

  • 3.1. Condition of walls, ceilings and floors.

  • 3.2. Adequacy of lighting and ventilation.

  • 3.3. Condition of furniture (beds, closets, chest of drawers etc).

  • 3.4. Adequacy of space (number of occupants per room).

  • 3.5. Overall cleanliness and upkeep.

  • 3.6. Food stuff stored in rooms.

4.0 Bathrooms

  • 4.1. Water closets sufficient in number, well maintained, working properly and show no signs of damage.

  • 4.2. Plumbing fixtures (pipes, taps etc.) are clean, free from leakages/ limescale build up and well maintained.

  • 4.3. Showers and shower curtains are clean, rust free, limescale free and well maintained.

  • 4.4. Windows and doors are clean, in tact and show no signs of damage.

  • 4.5. Condition of walls, floors and ceiling.

  • 4.6. Laundry room is spacious, well equipped and maintained.

  • 4.7. Bathrooms are free unnecessary items and litter.

  • 4.8. Bathrooms are adequately lit and ventilated.

  • 4.9. Handwashing sinks are adequate in number, working properly and well maintained.

5.0 Kitchens

  • 5.1. Condition of walls, floors and ceiling.

  • 5.2. Infrastructure (cupboards, shelves, countertops etc.) are appropriately designed to facilitate easy cleaning.

  • 5.3. Infrastructure (cupboards, shelves, countertops etc.) are clean, sturdy and show no signs of damage or decay.

  • 5.4. Equipment (stove, refrigerator, microwave etc.) are clean, rust free, well maintained and working properly.

  • 5.5. Utensils (pots, pans, spoons, fork, knife etc.) are stored/ handled appropriately according to food safety principles.

  • 5.6. Dish washing facilities are present, well maintained and show no signs of damage.

  • 5.7. Kitchens are adequately supplied with water.

  • 5.8. Kitchens are free from leakages from waste pipes.

  • 5.9. Kitchens appear generally clean and well maintained.

  • 5.10. Adequacy of lighting and ventilation.

6.0 Solid Waste Management

  • 6.1. Waste receptacles are sufficiently provided throughout the hostel.

  • 6.2. Waste receptacles are covered and not overfilled.

  • 6.3. Central waste storage area is clean, odour free and outfitted with a cover and enables restricted access.

  • 6.4. Waste collection frequency

7.0 Pest Infestation Assessment

  • 7.1. Hostel is free from all signs of pest infestation.

  • List evidence of infestation.

  • 7.2. Hostel is adequately sealed to prevent entrance from vermin, pest and insects.

  • Describe entry points.

  • 7.3. Are there any recent pest related complaint?

  • Indicate nature of complaint and actions taken.

Conclusion

  • Overall Comments

  • Auditor's signature

  • Manager's 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.