Title Page

  • Site

  • Conducted on

  • Prepared by

  • Location
  • Any other information

Site Specific

Site Specific Form

Site Contact

  • Contact Name

  • Contact Number

Time Restrictions

  • Earliest service Time

  • Latest service time

Entry

  • Entry code

  • Protocol

  • Add media

Bin Store Rooms

  • Entry code

  • Bins

  • Comments

Bin Location

  • Comments/Issues with bins

  • Add media

Tea Points

Waste Stream

  • What bins were in place?

Signage

  • What signage is there?

  • Was the signage updated during the audit?

  • Add media

Segregation

  • % of contamination in the mixed recycling

  • This level of contamination would not be acceptable in the external mixed recycling bin and could lead to a fine upon collection. Please relay to staff that no food waste or non-recyclable waste should be placed in this waste stream.

  • % of contamination in the food waste

  • This level of contamination would not be acceptable in the external food waste bin and could lead to a fine upon collection. Please relay to staff that only food waste should be placed in these bins.

  • % of mixed recycling and food in the general waste

  • There is potential to improve the segregation of recyclable material and food waste from the general waste stream. This will help improve the amount of recycling taking place on site.

  • Add media

Kitchen

  • Are bins available in the kitchen?

Waste Stream

  • What bins were in place?

Signage

  • What signage is there?

  • Was the signage updated during the audit?

  • Add media

Segregation

  • % of contamination in the mixed recycling

  • This level of contamination would not be acceptable in the external mixed recycling bin and could lead to a fine upon collection. Please relay to staff that no food waste or non-recyclable waste should be placed in this waste stream.

  • % of contamination in the food waste

  • This level of contamination would not be acceptable in the external food waste bin and could lead to a fine upon collection. Please relay to staff that only food waste should be placed in these bins.

  • % of mixed recycling and food in the general waste

  • There is potential to improve the segregation of recyclable material and food waste from the general waste stream. This will help improve the amount of recycling taking place on site.

  • Add media

Bathroom

  • Were paper towels or hand dryers used?

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.