Title Page

  • Site conducted

  • Area

  • Date of Audit

  • Prepared by

  • Location

Report

General

  • High Level

  • All doors and frames

  • Internal glazing / partitions

  • Stairs

  • Mirrors / Pictures

  • Walls

  • Radiators

  • Fire extinguishers

  • polished floors

  • Non slip floors

  • Carpeted floors

  • Edges and ledges

  • Furniture

  • Electrical items

Treatment rooms

  • Furniture (Desks / chairs

  • Shelving and cupboard fronts

  • Sills, edges and ledges

  • Bed frames

  • Curtain rails / curtains

  • Walls and ceilings

  • High level (windows /corners)

  • Low level (skirting boards)

  • Clinical waste safety hygiene

  • General waste safety hygiene

  • floors

  • Medical equipment

  • Sinks, taps, splashguards

  • Switches, Sockets

Washrooms

  • Toilets and urinals

  • Sinks and taps

  • Low surfaces

  • High Surfaces

  • Partitions

  • dispensers

  • Lockers

  • Hand wash containers

  • Hand driers

  • Waste bins

  • Feminine Hygiene

  • Showers

Kitchens

  • Fridges and freezers

  • Dishwashers

  • Microwaves

  • Cupboard fronts

  • Sinks and taps

  • Surfaces

  • Waste bins

  • Electrical items

  • floors

  • Dispensers

  • Cookers and ovens

Sign Off

  • Prepared by

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.