Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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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.
Entrance
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Entry glass clean and presentable
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Reception area clean and presentable
Carpet Areas
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Carpets areas vacuumed and free from debris
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Carpet corners and ledges free from fluff
Office areas
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Internal office doors clean and presentable
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Walkways clean and presentable
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Ledges and skirting boards free from dust
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Switches free from dust and finger prints
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Accessable vents and lights free from dust and marks
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Accessable walls free from removable marks
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Accessable areas behind work station computer screens and surrounding areas free from dust
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Bins emptied and in acceptable sanitary condition including plastic bags
Internal bathrooms and showers
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Partitions, frames and skirting clean and free from dust, clean and presentable
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Air conditioning vents free from dust, clean and presentable
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Walls free from marks, clean and presentable
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Floors clean and presentable
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Cisterns clean and presentable
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Urinals clean and presentable
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Hand basins, sinks, taps clean and presentable
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Glass and mirrors clean and presentable
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Shower screens and doors clean and presentable
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Bins emptied and in acceptable sanitary condition
Internal kitchen areas
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Floors clean and presentable
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Bench surfaces and cupboards clean and presentable
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Sinks, tape clean and presentable
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Bins emptied and in acceptable sanitary condition. Plastic bags changed.
Corrective Action
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Review the items that require corrective action and briefly list here
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Name the staff member who is responsible for carrying out this corrective action. If multiple people are included itemise the specific task relating to each person requiring corrective action
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Enter a date when all items requiring corrective action must be completed by
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Enter a date when an inspection will be carried out to confirm whether or not the items requiring corrective action have been completed
Signatory
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I hereby acknowledge this report to be a fair and accurate reflection of the inspected site.
Corrective Action Review
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Have all items requiring corrective action been completed by the specified due date on this 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
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Enter a date when they were inspected to confirm they had been completed
Signatory
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I hereby acknowledge this report to be a fair and accurate reflection of the inspected site.