Information

  • Site conducted

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Location
  • LPS Auditor name

Site Visit Protocol

  • Is this a pre-planned Site Visit?

  • Did you make contact with the client rep?

  • Name of Client Rep you spoke / Inspected with...

  • List Reason for no contact with client rep.

  • Is the attendance register available and being filled out correctly?

  • Follow up / order new communication book if needed

  • Is the communication book available and being used?

  • Follow up / order new communication book if needed

  • Is there sufficient stock on site until next visit?

  • Record and order the required stock

  • Is the Cleaner on-site?

OH&S and House Keeping

  • Is the Site Manual present and Version V2 (including MSDS and SWI)

  • Contact Head Office for a replacement manual
    Create follow up now.

  • Is the Cleaners store room clean and tidy?

  • Take 1 pic of cleaners store room

  • Take 1 pic of cleaners store room

  • Have cleaner clean / tidy / rearrange the cleaners store room.
    Create follow up inspection time

  • When is the follow up inspection scheduled for?

  • Are all chemical bottles stored and labelled correctly?

  • Arrange for correct storage method.
    Order correct Bottles or labels required.
    Create follow up

  • When is the follow up inspection scheduled for?

Area Inspections

  • Entry Areas

Entry

  • Enter Entry name or number

  • Is the Area COBWEB free?

  • Where are the cobwebs that need removing? (i.e. High windows, ceiling corners, low windows etc)

  • Entrance and internal Glass is Clean (smudge and finger mark free)

  • Describe what needs improving

  • Are floors cleaned to an acceptable standard?

  • Describe what needs improving

  • Surfaces (ie. ledges, table tops etc) are dust and mark free

  • Describe what needs improving

  • Office Areas

  • Office
  • Enter office / Room name or number

  • Is the area COBWEB free?

  • Where are the cobwebs that need removing? (i.e. High windows, ceiling corners, low windows etc)

  • Horizontal surfaces, ie. window ledges, skirting boards, heater top and table tops are dust and finger marks free.

  • Describe what needs improving

  • Internal Glass is Clean (smudge and finger mark free)

  • Describe what need improving

  • Are Hard and Soft floors clean to an acceptable standard?

  • Describe what needs improving

Conference / Boardroom

  • Is the Area COBWEB free?

  • Where are the cobwebs that need removing? (i.e. High windows, ceiling corners, low windows etc)

  • Are floors cleaned to an acceptable standard?

  • Describe what needs improving

  • Surfaces (ie. ledges, table tops etc) are dust and mark free

  • Describe what needs improving

  • Internal Glass is Clean (smudge and finger mark free)

  • Describe what need improving

  • Bins are empty and lined

  • Instruct cleaner to ensure all bins are emptied and lined. Schedule a re- inspection to ensure standard is met

  • Toilets and Shower / Bathrooms

  • Toilet / Shower / Bathroom
  • Enter toilet or bathroom name or number

  • Are floors cleaned to an acceptable standard?

  • Describe what needs improving

  • Doors and walls are clean and free from hand marks, grime and graffiti

  • Instruct cleaner as to the required standard. If graffiti is present, instruct the cleaner to remove the graffiti. Ensure cleaner is aware of the correct use of the graffiti remover and has read the MSDS and is using all the appropriate PPE.

  • Is the urinal clean and free of uric acid build up

  • Does the cleaner know the correct procedure with regard to cleaning the urinals? Is a doodle bug available and being used

  • Source a doodle bug and instruct the cleaner on its correct use. Schedule a follow up inspection

  • Are the toilet bowls, seats (top and underneath) cistern and also behind the bowl clean and sanitised

  • Instruct the cleaner to clean the areas that require attention. Schedule a follow up inspection.

  • Hand basin / troughs clean. Including around taps and plug holes

  • Instruct the cleaner as to the required standard and to rectify areas that are below our standard. Schedule a follow up inspection.

  • Mirrors and soap dispensers are spot and streak free

  • Instruct the cleaner on the required standard with regard to mirror and soap dispenser cleanliness standards (spot and streak free). Schedule a follow up inspection.

  • Horizontal surfaces (ie. window ledges, cubicle dividing walls, dryers, etc) are dust free

  • Describe what needs improving

  • Shower/s are clean and streak free, including shower screens, shower base, taps, tiles, drain and shower head?

  • Describe what needs improving

  • Bath/s are clean, including tub, taps and drain?

  • Describe what needs improving

  • Consumables levels are correct ( ie. Toilet paper, hand towel, hand soap)

  • Instruct cleaner to ensure all levels must be maintained at at the required level

  • Kitchen /Dining room

  • Kitchen / Dining
  • Enter Kitchen / Dining Room name or number

  • Is the area COBWEB free?

  • Where are the cobwebs that need removing? (i.e. High windows, ceiling corners, low windows etc)

  • Are floors cleaned to an acceptable standard?

  • Describe what needs improving

  • Surfaces (ie. window ledges, sink, fridge, microwave, table tops etc) are dust and mark free

  • Describe what needs improving

  • General Maintenance / Other

  • General Maintenance / Other
  • Enter location of general maintenance / other concern

  • Enter description of concern (and add images where appropriate

  • Where applicable please provide pictures of general maintenance / other

Sign off

  • Follow up inspection required

  • Enter follow up inspection date

  • Client Rep to sign

  • Cleaner to sign

  • Manager to sign

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.