Monthly Housekeeping Checklist

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Building

• Campus

  GP

  KG

• Building

  B

  Z

• Level

  Select 1 2 3 4 5 6 7 8 9 10 11 12 12

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 12

Building check

• All faults have been reported to the FM Helpdesk?

  Yes

  No

  N/A

• Are evacuation stairways free from obstruction?

  Yes

  No

  N/A

• Are evacuation routes free from obstructions?

  Yes

  No

  N/A

• Is the workplace clear of accumulated rubbish?

  Yes

  No

  N/A

Eco team

• Are ECO personnel hi-visibility vests, helmets and ID cards present?

  Yes

  No

  N/A

• Are the names of the ECO personnel displayed within the building?

  Yes

  No

  N/A

• Is all warden equipment (WIP phones, torches etc) in serviceable condition ?

  Yes

  No

  N/A

• Has any ECO personnel within your area of responsibility changed in the last month?

  Yes

  No

  N/A

• Name of former ECO member/s:

• Name of replacement ECO member/s:

Signage

• Are fire hose reel maintenance tags stamped and current?

  Yes

  No

  N/A

• Are fire extinguishers maintenance tags stamped and current?

  Yes

  No

  N/A

• Are fire extinguishers all present and signage current and appropriate?

  Yes

  No

  N/A

• Are all fire exits clearly indicated by signage?

  Yes

  No

  N/A

• Are exit doors easily opened and closed?

  Yes

  No

  N/A

• Is your evacuation diagram clearly visible and orientated for the building?

  Yes

  No

  N/A

Submission

• Warden comments

• Your chief warden

• Your deputy chief

Plan

• Add drawing

  Drawing

• Photo

  Media