Title Page

  • Site/Facility Name:

  • Service completed by:

  • Audit completed by:

  • Conducted on:

  • Location

Site Information

  • What service was completed?

  • Did all employs sign in and out of site?

  • Why was this not done/required?

  • Is there a mobile report or paperwork available and have all sections been correctly completed for the work that was carried out on site?

  • Are pre and post photos, temp readings, air speeds, ATP results and ph testing results adequate?

  • Have coils been adequately washed and cleared from contamination?

  • Have fans been adequately cleaned and cleared from contamination?

  • Has drip tray been cleaned?

  • Have side panels been removed and cleaned?

  • Are light fittings clean and free from contamination?

  • Are coving and cornice's clean and free from contamination?

  • Are all switches, conduit, fittings etc clean and free from contamination?

  • Are all door hinges, handles, frames and seals clean and free from contamination?

  • Has D-Mould been applied correctly to all surfaces?

  • Has D-Mould been applied correctly to all door seals?

  • Have floors been left in a clean state?

  • Has an appropriate service sticker been applied neatly and correctly to the equipment?

  • Is the overall quality of the job up to standard with the full scope of works?

  • Schedule a re-clean by technician <1 week from audit date

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.