Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Reception

  • Are all lights in full working order?

  • Add media

  • Is the area free of slip or trip hazards?

  • Please describe what measures you have taken to correct

  • Is the area clean and tidy?

  • Add media

  • Is the reception door and intercom working correctly?

  • Inspecting officer (full name)

Public toilets

Gents

  • Is the area free of slip or trip hazards?

  • Please describe what measures you have taken to correct

  • Is the area clean and tidy?

  • Add media

  • Are all lights in full working order?

  • Add media

  • Is the area free of damage and graffiti?

  • Add media

  • Are all taps working correctly?

  • Please make management aware

  • Are all soap dispensers working correctly?

  • Please make management aware

  • Are all hand driers working correctly?

  • Please make management aware

  • Are all toilets flushing correctly?

  • Please make management aware

  • Are all cubicle locks working correctly?

  • Please make management aware

  • Are all toilet roll holders working correctly and with paper available?

  • Please describe what action you have taken to resolve the issue

Parent&Child/ Disabled

  • Is the area free of slip or trip hazards?

  • Please describe what measures you have taken to correct

  • Is the area clean and tidy?

  • Add media

  • Are all lights in full working order?

  • Add media

  • Is the area free of damage and graffiti?

  • Add media

  • Are all taps working correctly?

  • Please make management aware

  • Are all soap dispensers working correctly?

  • Please make management aware

  • Are all hand driers working correctly?

  • Please make management aware

  • Are all toilets flushing correctly?

  • Please make management aware

  • Are all cubicle locks working correctly?

  • Please make management aware

  • Are all toilet roll holders working correctly and with paper available?

  • Please describe what action you have taken to resolve the issue

  • Is the changing table free of damage?

  • Please make management aware

  • Is the alarm working correctly?

  • Please make management aware

Ladies

  • Is the area free of slip or trip hazards?

  • Please describe what measures you have taken to correct

  • Is the area clean and tidy?

  • Add media

  • Are all lights in full working order?

  • Add media

  • Is the area free of damage and graffiti?

  • Add media

  • Are all taps working correctly?

  • Please make management aware

  • Are all soap dispensers working correctly?

  • Please make management aware

  • Are all hand driers working correctly?

  • Please make management aware

  • Are all toilets flushing correctly?

  • Please make management aware

  • Are all cubicle locks working correctly?

  • Please make management aware

  • Are all toilet roll holders working correctly and with paper available?

  • Please describe what action you have taken to resolve the issue

  • Add signature

Lower lobby

  • What are the weather conditions?

  • Have the wet floor signs been put out?

  • Have the wet floor signs been put away?

  • Is the area free of other slip or trip hazards (excluding weather)?

  • Please describe what action you have taken to resolve the issue.

  • Are the automatic doors working correctly?

  • What action have you taken

  • Please make sure the management team are aware

  • Please describe what action you have taken

  • Are the travellators working correctly?

  • What action have you taken

  • Please make sure the management team are aware

  • Please describe what action you have taken

  • Are the photo me machines working correctly?

  • What action have you taken

  • Please make sure the management team are aware

  • Please describe what action you have taken

  • Is the area generally clean and tidy?

  • Add media

  • Are the lights in full working order?

  • Add media

  • Is the area free of damage and graffiti (including signage)?

  • Add media

Upper lobby

  • What are the weather conditions?

  • Have the wet floor signs been put out?

  • Have the wet floor signs been put away?

  • Is the area free of other slip or trip hazards (excluding weather)?

  • Please describe what action you have taken to resolve the issue.

  • Are the automatic doors working correctly?

  • What action have you taken

  • Please make sure the management team are aware

  • Please describe what action you have taken

  • Is the lift working correctly?

  • What action have you taken

  • Please make sure the management team are aware

  • Please describe what action you have taken

  • Are the photo me machines working correctly?

  • What action have you taken

  • Please make sure the management team are aware

  • Please describe what action you have taken

  • Is the display cabinet clean and undamaged?

  • Add media

  • Is the area generally clean and tidy?

  • Add media

  • Are the lights in full working order?

  • Add media

  • Is the area free of damage and graffiti (including signage)?

  • Add media

  • Inspecting officer (full name)

Main mall

  • What are the weather conditions?

  • Has the area been gritted by subcontractors?

  • Are all lights infull working order

  • Add media

  • Are all bins, plant pots amd benches clean, tidy and free of damage?

  • Add media

  • Is the area free of damage, graffiti and fly posting(including signage and shop fronts)

  • Add media

  • Is the area free of other slip or trip hazards (excluding weather)?

  • Please describe what action you have taken to resolve the issue?

  • Is the area generally clean and tidy?

  • Add media

  • Add signature

Northern boundary (Library side)

  • Are all lights infull working order

  • Add media

  • Are bins tidy and free of damage?

  • Add media

  • Is the area free of damage, graffiti and fly posting?

  • Add media

  • Is the area free of other slip or trip hazards (excluding weather)?

  • Please describe what action you have taken to resolve the issue?

  • Is the area generally clean and tidy?

  • Add media

  • Add signature

Virgin yard

  • Is the area generally clean and tidy?

  • Add media

  • Are the back of the restaurants clean and tidy?

  • Add media

  • Are all fire exits clear, tidy and closed?

  • Add media

  • Is the area free of damage?

  • Add media

Restaurant mall (Up to Puregym)

  • What are the weather conditions?

  • Has the area been gritted by subcontractors?

  • Are all lights in full working order

  • Add media

  • Are bins tidy and free of damage?

  • Add media

  • Is the area free of damage, graffiti and fly posting?

  • Add media

  • Is the area free of other slip or trip hazards (excluding weather)?

  • Please describe what action you have taken to resolve the issue?

  • Is the area generally clean and tidy?

  • Add media

  • Is the civic bollard up and locked?

  • Add signature

Gardens (including Beryls memorial garden)

  • What are the weather conditions?

  • Has the area been gritted by subcontractors?

  • Are all lights in full working order

  • Add media

  • Are slopes and steps secure and safe?

  • Please describe what action you have taken to resolve the issue?

  • Are bins, plant pots and benches tidy and free of damage?

  • Add media

  • Are water levels correct?

  • Add media

  • Are fountains working correctly?

  • Add media

  • Is the area free of damage, graffiti and fly posting (including signage and ponds)?

  • Add media

  • Is the area free of other slip or trip hazards (excluding weather)?

  • Please describe what action you have taken to resolve the issue?

  • Is the area generally clean and tidy?

  • Add media

  • Add signature

Pump house

  • Is the pump house securely locked?

  • Are the lights in full working order?

  • Add media

  • Are there 3 sets of ear defenders?

  • Is the manual light off on the diesel pump?

  • What is the running hours on the diesel pump?

  • Is there any other defects that management need to be aware of?

  • Please describe problem and make management aware.

  • Add signature

Western boundary (Matalan service area side)

  • What are the weather conditions?

  • Has the area been gritted by subcontractors?

  • Are all lights in full working order

  • Add media

  • Are bins tidy and free of damage?

  • Add media

  • Is the area free of damage, graffiti and fly posting?

  • Add media

  • Is the area free of other slip or trip hazards (excluding weather)?

  • Please describe what action you have taken to resolve the issue?

  • Is the area generally clean and tidy?

  • Add media

TK Max / Matalan Mall

  • What are the weather conditions?

  • Has the area been gritted by subcontractors?

  • Are all lights in full working order

  • Add media

  • Are bins tidy and free of damage?

  • Add media

  • Is the area free of damage, graffiti and fly posting?

  • Add media

  • Is the area free of other slip or trip hazards (excluding weather)?

  • Please describe what action you have taken to resolve the issue?

  • Is the lift working correctly

  • What action have you taken?

  • Please ensure management are made aware!

  • Is the area generally clean and tidy?

  • Add media

  • Add signature

Southern boundary (car park emtrance side)

  • Are all lights in full working order

  • Add media

  • Is the area free of damage, graffiti and fly posting?

  • Add media

  • Is the area free of other slip or trip hazards (excluding weather)?

  • Please describe what action you have taken to resolve the issue?

  • Are the traffic lights working correctly?

  • Is the area generally clean and tidy?

  • Add media

Eastern boundary (police station side)

  • Are all lights in full working order

  • Add media

  • Is the area free of damage, graffiti and fly posting?

  • Add media

  • Is the area free of other slip or trip hazards (excluding weather)?

  • Please describe what action you have taken to resolve the issue?

  • Is the area generally clean and tidy?

  • Add media

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.