Male Changing Room Locker Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Hinges

• All in good working order?

  Yes

  No

  N/A

• Need replacing?

  Yes

  No

  N/A

Broken

• All working?

  Yes

  No

  N/A

• Need fixing?

  Yes

  No

  N/A

Batteries

• All working?

  Yes

  No

  N/A

• Need replacing?

  Yes

  No

  N/A

Missing hangers

• All in place?

  Yes

  No

  N/A

• Need replacing?

  Yes

  No

  N/A

No response

• All working?

  Yes

  No

  N/A

• Need fixing?

  Yes

  No

  N/A

• Additional comments?

  Yes

  No

  N/A

• Sign once completed:

  Sign