Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • YES means items are acceptable. NO means items are unacceptable. If NO is selected photos and comments MUST be provided. A total of 1 point per line items is awarded for a YES mark.

Car parks

  • Free from litter

  • Free from oil stains

  • Floors clean and presentable

  • Lights, columns, ceilings free from cobwebs.

Gardens

  • Free from litter

  • Free from debris

  • Clean and presentable

External walkways

  • Free from debris

  • Free from litter

  • Clean and presentable

Loading Bay Area

  • Free from litter

  • Clean and presentable

Bin Areas

  • Free from litter

  • Clean and presentable

Entrances

  • Entrance doors clean and presentable

  • Glass spot cleaned where applicable

  • Frames and skirtings free of dust

  • Railings clean and presentable

Height accessible areas

  • Lights free from cob webs

  • Signage free from cobwebs

  • Awnings free from cobwebs

Internal walkways

  • Floors clean and presentable

  • Corners, edgings and skirtings free from dust

Toilets

  • Partitions, frames and skirting free from dust, clean and presentable

  • Air conditioning vents free from dust, clean and presentable

  • Walls free from marks, clean and free from dust, clean and presentable

  • Floors clean and presentable

  • Cisterns clean and presentable

  • Urinals clean and presentable

  • Hand basins, sinks, taps clean and presentable

  • Glass and mirrors clean and presentable

Lifts

  • Lifts free of fingerprints and dust

  • External lift polished, clean and presentable

  • Internal lift polished, clean and presentable

Fire Stairs

  • Free from debris

  • Free from cobwebs

  • Frames and doors free from dust

  • Clean and presentable

Fire hose cupboards and Panels

  • Free from dust and fingerprints

  • Clean and presentable

Corrective Action

  • Review the items that require corrective action and briefly list here

  • Name the staff remember who is responsible for to carry out this corrective action. If multiple people are included itemise the specific task relating to each person requiring corrective action

  • Enter a date when all items requiring corrective action must be completed by

  • Enter a date when an inspection will be carried out to confirm whether or not the items requiring corrective action have been completed

Signatory

  • I hereby acknowledge this report to be a fair and accurate reflection of the inspected site.

Corrective Action Review

  • Have all the items requiring corrective action been completed by the specified due date on this corrective action report? If the answer is NO enter a brief description of what has not been completed. Once this report has been finalised proceed to create a Corrective Action Report

  • Enter a date when they were inspected to confirm they had been completed

Signatory

  • I hereby acknowledge this report to be a fair and accurate reflection of the inspected site.

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.