Internal Cleanliness Inspection Report - Common Area.

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• YES means item is excellent or acceptable. NO means item is unacceptable. If NO is selected photos and comments MUST be provided. A total of 1 point per line item that is granted a YES. Points are to be tallied and entered at the end of the report

Corrective Action Review

• Review the previous inspection report and answer the following questions. Note: if a corrective action task has NOT been completed by the review date a CORRECTIVE ACTION REPORT must be completed along with this report.

• Have all items requiring corrective action been completed by the specified due date on the previous inspection 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.

  Yes

  No

  N/A

Car parks

• Free from litter

  Yes

  No

  N/A

• Free from debris

  Yes

  No

  N/A

• Trolley bays clean and presentable

  Yes

  No

  N/A

• Points

  Select 0 1 2 3 4 5 6 7 8 9

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9

Gardens

• Free from litter

  Yes

  No

  N/A

• Free from debris

  Yes

  No

  N/A

• Clean and presentable

  Yes

  No

  N/A

• Points

  Select 0 1 2 3 4 5 6 7 8 9

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9

External walkways

• Path ways clean and presentable

  Yes

  No

  N/A

• Free from debris

  Yes

  No

  N/A

• Free from litter

  Yes

  No

  N/A

• Points

  Select 0 1 2 3 4 5 6 7 8 9

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9

Loading Bay Area

• Free from litter

  Yes

  No

  N/A

• Clean and presentable

  Yes

  No

  N/A

• Points

  Select 0 1 2 3 4 5 6 7 8 9

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9

Refuse area

• Free from litter

  Yes

  No

  N/A

• Clean and presentable

  Yes

  No

  N/A

• Points

  Select 0 1 2 3 4 5 6 7 8 9

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9

Entrances

• Entrance doors clean and presentable

  Yes

  No

  N/A

• Glass spot cleaned where applicable

  Yes

  No

  N/A

• Frames and skirtings free of dust

  Yes

  No

  N/A

• Railings clean and presentable

  Yes

  No

  N/A

• Points

  Select 0 1 2 3 4 5 6 7 8 9

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9

Height accessible areas

• Lights free from cob webs

  Yes

  No

  N/A

• Signage free from cobwebs

  Yes

  No

  N/A

• Awnings free from cobwebs

  Yes

  No

  N/A

• Points

  Select 0 1 2 3 4 5 6 7 8 9

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9

Internal walkways

• Floors clean and presentable

  Yes

  No

  N/A

• Corners, edgings and skirtings free from dust

  Yes

  No

  N/A

• Points

  Select 0 1 2 3 4 5 6 7 8 9

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9

Toilets

• Frames and skirtings clean and free from dust

  Yes

  No

  N/A

• Cisterns clean and presentable

  Yes

  No

  N/A

• Urinals clean and presentable

  Yes

  No

  N/A

• Hand basins, sinks, taps clean and presentable

  Yes

  No

  N/A

• Glass and mirrors clean and presentable

  Yes

  No

  N/A

• Points

  Select 0 1 2 3 4 5 6 7 8 9

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9

Lifts

• Lifts free of fingerprints and dust

  Yes

  No

  N/A

• External lift polished, clean and presentable

  Yes

  No

  N/A

• Internal lift polished, clean and presentable

  Yes

  No

  N/A

• Points

  Select 0 1 2 3 4 5 6 7 8 9

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9

Travelators

• Glass clean and presentable

  Yes

  No

  N/A

• Hand railing clean and presentable

  Yes

  No

  N/A

• Conveyor floor clean and presentable

  Yes

  No

  N/A

• Points

  Select 0 1 2 3 4 5 6 7 8 9

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9

Fire hose cupboards and Panels

• Free from dust and fingerprints

  Yes

  No

  N/A

• Clean and presentable

  Yes

  No

  N/A

• Points

  Select 0 1 2 3 4 5 6 7 8 9

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9

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

  Date

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

  Date

Review and conclusion

• Total maximum points

• Score

• Do you have any notable comments

Signatory

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

  Sign