Title Page

  • Employee

  • School

  • Date

  • Prepared by

  • Location
  • INSTRUCTIONS

    1. Answer "Acceptable", "Unacceptable", or "N/A" on the questions below.
    2. Add photos and notes by clicking on the paperclip icon
    3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority, and due date
    4. Complete audit by providing a digital signature
    5. Share your report by exporting as PDF, Word, Excel or Web Link

Inspection

  • • Classrooms:<br>Carpets vacuumed and edges have no dust buildup, desks and furniture are clean and arranged neatly, computers, counters and window seals are dusted. Sinks and sinks areas are clean. Trash cans and pencil sharpeners are empty and clean. Doors, door jambs and walls are clean. Hard floors are cleaned and mopped.

  • • Closet/Custodial Cart: <br>Clean, organized and in order, chemicals properly labeled and incorrect containers.

  • • Restrooms: <br>Free of odors, dispensers clean, full and functional. Sinks, urinals, floors, trash cans, vents, drains, and mirrors are clean. Partitions and walls are clean and free of graffiti.

  • • Commons area: <br>Scrubbed, edges and corners free of dust and debris, walls and glass are clean.

  • • Floor Scrubber: <br>Clean inside and out, working, and maintained.

  • • Flags: <br>Brought in

  • • Hallway Trash Cans: <br>Clean inside and out

  • • Trash Tilt Cart: <br>Clean inside and out

  • • Dust Mop and Dust Pans: <br>Clean free of dirt, dust and grime

  • • Mop Bucket: <br>Clean inside and out. Mop clean and hanged out to dry

  • • Hallways: <br>Clean and free of obstacles, walls free of grime, lights and exit lights working.

  • • Locker Rooms: <br>Free of odors, dispensers clean, full and functional. Sinks, urinals, floors, trash cans, vents, drains and mirrors are clean. Partitions, lockers and walls are clean and free of graffiti.

  • • PPE: <br>Is it available

  • • SDS & Custodial Handbook Available

  • • Old SDS & Custodial Handbook Discarded

  • • Gym:<br>Floor auto scrubbed, bleachers and walls are clean

Completion

  • Overall Comments:

  • I have read this report and

  • Inspected By

  • Employee Name & Signature

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.