Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Untitled Page

1. PERSONAL HYGIENE

  • Are staff fit to work, wearing clean, suitable protective clothing and following personal hygiene rules, particularly hand washing?

  • Are wash hand basins clean with water, soap and hygienic hand drying facilities?

  • Are wash hand basins used for hand washing only and used regularly by staff?

  • TOTAL

2. TOILETS AND CHANGE ROOMS

  • Are changing facilities clean and tidy?

  • No clothes or other nonshoe items hanged on gumboots hooks

  • Are lockers physically clean?

  • Toilets are clean, dry and well ventilated

  • Basic amenities such as soap, toilet paper, hand dryer/ paper towel and waste bins are available

  • Toilet fittings facilities are in good working condition

  • TOTAL

3. PRODUCTION AREA

  • Are suitable cleaning chemicals available and stored correctly and are proper cleaning methods used?

  • Are the leaning materials easily accessible, labeled and in good working condition

  • Are cleaning cloths and equipment suitable for use and regularly cleaned and disinfected and used properly?

  • Is the production area in good condition and well maintained?

  • Is the producion area clean and tidy and do staff clean as they go including difficult areas? Are the floors, walls and stairs clean & free from debris and organized?

  • Are all items in the area easily identified?

  • Is the needed equipment, tools, supplies and parts present and within the work area. Unncessary items are removed to proper storage

  • No unneeded, out of date, or out of place material on work sations, walls, bulletin boards etc

  • Is all trash, rubbish etc. disposed of and is waste being disposed of correctly?

  • Adequate number of covered refuse bins are available and refuse is properly managed and disposed i.e. clean & regularly emptied?

  • Refuse bins are properly lined with plastic bags and covered at all times

  • Refuse is properly bagged before disposing it at the waste disposal area

  • Lighting in the work area is bright and adequate (no bulbs out, no loose light fixtures)

  • TOTAL

4. EQUIPMENT

  • The equipment in the area is free of debris (no oil, dirt, chips etc) and organized? There is evidence of cleaning being performed in constant manner

  • Are backs of machines, tops of machines clean, underneath machines & surrounding areas kept clean & free from oil?

  • Is there a system for maintaining, clearing up & cleaning?

  • Are there clear SOPs for storage of dismantled machine/ equipment parts?

  • Are all unnecessary parts/materials removed from machinery/equipment?

  • TOTAL

5.STORAGE ROOMS

  • Is the storage area clean, free of pests, dry, well ventilated and in good state of repair

  • Floors, walls, stairs and surfaces free of debris (no oil, dirt, chips etc.) and organized? There is evidence of cleaning being performed in a constant manner

  • Shelves and storage areas are organized, clear boundaries are divided, and labeled. There are no uncertainities about where items are stored. Example: ingredients, packaging, chemicals etc

  • All item locations are indicated and items are in their proper location

  • Are materials stored correctly forexample cleaning materials, pallets e.t.c

  • Are materials stored neatly on pallets, off the floor and away from walls

  • All packaging, ingredient bags, product cartons, product etc. are undamaged and sealed

  • Pest control is in place and there is no eveidence of pests

  • Lighting in the work area is bright and adequate (no bulbs out, no loose light fixtures)

6. CHECKS AND RECORD KEEPING

  • Is the cleaning schedule in place and being adhered to?

  • Checklist for cleaning is current and available

  • Are all checks properly taken and recorded?

  • Has appropriate corrective action been taken where necessary?

  • Are records uptodate, checked and verified?

  • TOTAL

  • GRAND TOTAL

  • MAXIMUM SCORE

  • PERCENTAGE SCORE

AUDIT CRTERIA

  • There is no evidence of activity being done

  • There is minimal evidence that activity is being done

  • Activity is taking place, yet there is no consistency or sustained effort visible

  • There is evidence of heightened activity, although improvements can be made

  • Significant hygiene progress has been made

  • Currently meets hygiene expectations

AUDIT CRITERIA

  • There is no evidence of activity being done 0
    There is minimal evidence that activity is being done 1
    Activity is taking place, yet there is no consistency or sustained effort visible 2
    There is evidence of heightened activity, although improvements can be made 3
    Significant hygiene progress has been made 4
    Currently meets hygiene expectations 5

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