Title Page

  • Cleaning Inspection Site

  • Location
  • Date and Time of Inspection

  • Inspected By


  • INSTRUCTIONS:
    -------------------------------------
    1. Answer the applicable questions.
    2. Click Add photos and notes.
    3. To add a Corrective Measure click on "Add Action", provide a description, assign to a member, set priority and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF, Word, Excel or Web Link.

  • What area are you going to inspect?

ADMINISTRATION

Entry

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Railings

  • Skirts

  • Furnishings

  • Vents/Fans

  • Glass

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Lounge

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Railings

  • Skirts

  • Furnishings

  • Vents/Fans

  • Glass

  • Bins

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Offices (3)

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Railings

  • Skirts

  • Furnishings

  • Vents/Fans

  • Bins

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Reception

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Railings

  • Skirts

  • Furnishings

  • Vents/Fans

  • Bins

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Copy Room

  • Inspected

  • Floors

  • Walls

  • Doors

  • Skirts

  • Furnishings

  • Vents/Fans

  • Bins

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Visitors Toilets

  • Inspected

  • Floors

  • Walls

  • Doors

  • Furnishings

  • Vents/Fans

  • Bins

  • Sinks

  • Toilet

  • Mirror

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Lift

  • Inspected

  • Floors

  • Walls

  • Doors

  • Railings

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Courtyard

  • Inspected

  • Floors

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Passageways

  • Inspected

  • Floors

  • Walls

  • Doors

  • Railings

  • Skirts

  • Furnishings

  • Vents/Fans

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

DEMENTIA LEVEL 2

Passageways

  • Inspected

  • Floors

  • Walls

  • Doors

  • Railings

  • Skirts

  • Furnishings

  • Vents/Fans

  • Bins

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Dining Room

  • Inspected

  • Floors

  • Walls

  • Sills

  • Skirts

  • Furnishings

  • Vents/Fans

  • Bins

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Nurses Station

  • Inspected

  • Floors

  • Walls

  • Doors

  • Skirts

  • Furnishings

  • Vents/Fans

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Pan Room

  • Inspected

  • Floors

  • Walls

  • Doors

  • Furnishings

  • Vents/Fans

  • Bins

  • Sinks

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Lounge

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Skirts

  • Furnishings

  • Vents/Fans

  • Glass

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Servery No

  • Inspected

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Courtyard

  • Inspected

  • Floors

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Room

  • Click "Add Room Number"

  • Room Number
  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Furnishings

  • Skirts

  • Vents/Fans

  • Bins

  • Sinks

  • Toilet

  • Shower

  • Mirror

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

LEVEL 2 SOUTH ROOM

Passageways

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Railings

  • Skirts

  • Furnishings

  • Vents/Fans

  • Glass

  • Bins

  • Sinks

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Dining Room

  • Inspected

  • Floors

  • Walls

  • Sills

  • Skirts

  • Furnishings

  • Vents/Fans

  • Bins

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Servery No

  • Inspected

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Bathroom

  • Inspected

  • Floors

  • Walls

  • Doors

  • Skirts

  • Vents/Fans

  • Bins

  • Sinks

  • Toilet

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Room

  • Click "Add Room Number"

  • Room Number
  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Furnishings

  • Skirts

  • Vents/Fans

  • Bins

  • Sinks

  • Toilet

  • Shower

  • Mirror

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

LEVEL 2 NORTH ROOM

Passageways

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Railings

  • Skirts

  • Furnishings

  • Vents/Fans

  • Glass

  • Bins

  • Sinks

  • Toilet

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Treatment Room

  • Inspected

  • Floors

  • Walls

  • Doors

  • Skirts

  • Furnishings

  • Vents/Fans

  • Bins

  • Sinks

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Nurses Station

  • Inspected

  • Floors

  • Walls

  • Doors

  • Railings

  • Skirts

  • Furnishings

  • Vents/Fans

  • Bins

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Dining Room

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Skirts

  • Furnishings

  • Vents/Fans

  • Glass

  • Bins

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Servery No

  • Inspected

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Lift

  • Inspected

  • Floors

  • Walls

  • Doors

  • Railings

  • Furnishings

  • Vents/Fans

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Balconies

  • Inspected

  • Floors

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Public Toilet

  • Inspected

  • Floors

  • Walls

  • Doors

  • Furnishings

  • Vents/Fans

  • Bins

  • Sinks

  • Toilet

  • Mirror

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Store

  • Inspected

  • Floors

  • Walls

  • Doors

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Lounge

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Railings

  • Skirts

  • Furnishings

  • Vents/Fans

  • Glass

  • Bins

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Pan Room

  • Inspected

  • Floors

  • Walls

  • Doors

  • Skirts

  • Furnishings

  • Vents/Fans

  • Glass

  • Bins

  • Sinks

  • Toilet

  • Shower

  • Mirror

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Office

  • Inspected

  • Floors

  • Walls

  • Doors

  • Railings

  • Skirts

  • Furnishings

  • Vents/Fans

  • Glass

  • Bins

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Room

  • Click "Add Room Number"

  • Room Number
  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Furnishings

  • Skirts

  • Vents/Fans

  • Bins

  • Sinks

  • Toilet

  • Shower

  • Mirror

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

LEVEL 3 SOUTH ROOM

Passageways

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Railings

  • Skirts

  • Furnishings

  • Vents/Fans

  • Glass

  • Bins

  • Sinks

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Dining Room

  • Inspected

  • Floors

  • Walls

  • Sills

  • Skirts

  • Furnishings

  • Vents/Fans

  • Bins

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Lounge

  • Inspected

  • Floors

  • Walls

  • Sills

  • Skirts

  • Furnishings

  • Vents/Fans

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Lift O/S

  • Inspected

  • Walls

  • Doors

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Physio Room

  • Inspected

  • Floors

  • Walls

  • Doors

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Servery No

  • Inspected

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Treatment Room

  • Inspected

  • Floors

  • Walls

  • Doors

  • Furnishings

  • Vents/Fans

  • Bins

  • Sinks

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Nurses Station (2)

  • Inspected

  • Floors

  • Walls

  • Skirts

  • Furnishings

  • Vents/Fans

  • Bins

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Bathroom (2)

  • Inspected

  • Floors

  • Walls

  • Doors

  • Skirts

  • Vents/Fans

  • Glass

  • Bins

  • Sinks

  • Toilet

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Stairs (2)

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Railings

  • Glass

  • Toilet

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

LEVEL 3 SOUTH CONTINUED

Pan Room

  • Inspected

  • Floors

  • Walls

  • Doors

  • Vents/Fans

  • Bins

  • Sinks

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Store Room

  • Inspected

  • Floors

  • Walls

  • Doors

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Room

  • Click "Add Room Number"

  • Room Number
  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Furnishings

  • Skirts

  • Vents/Fans

  • Bins

  • Sinks

  • Toilet

  • Shower

  • Mirror

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

LEVEL 3 NORTH ROOM

Passageways

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Railings

  • Skirts

  • Furnishings

  • Vents/Fans

  • Glass

  • Bins

  • Sinks

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Dining Room

  • Inspected

  • Floors

  • Walls

  • Sills

  • Skirts

  • Furnishings

  • Vents/Fans

  • Bins

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Lounge

  • Inspected

  • Floors

  • Walls

  • Sills

  • Skirts

  • Furnishings

  • Vents/Fans

  • Bins

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Pan Room

  • Inspected

  • Floors

  • Walls

  • Doors

  • Vents/Fans

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Salon

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Skirts

  • Vents/Fans

  • Glass

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Lift O/S

  • Inspected

  • Walls

  • Doors

  • Skirts

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Physio Room

  • Inspected

  • Floors

  • Walls

  • Doors

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Balconies (2)

  • Inspected

  • Floors

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Servery No

  • Inspected

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Bathroom

  • Inspected

  • Floors

  • Walls

  • Doors

  • Skirts

  • Vents/Fans

  • Bins

  • Sinks

  • Toilet

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Store Room

  • Inspected

  • Floors

  • Walls

  • Doors

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Room

  • Click "Add Room Number"

  • Room Number
  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Furnishings

  • Skirts

  • Vents/Fans

  • Bins

  • Sinks

  • Toilet

  • Shower

  • Mirror

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

LEVEL 1

Passageways

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Railings

  • Skirts

  • Furnishings

  • Vents/Fans

  • Glass

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Staff Room

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Skirts

  • Furnishings

  • Vents/Fans

  • Glass

  • Bins

  • Sinks

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Outside Kitchen

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Smokers Area

  • Inspected

  • Floors

  • Walls

  • Doors

  • Sills

  • Furnishings

  • Glass

  • Bins

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Loading Dock

  • Inspected

  • Floors

  • Walls

  • Doors

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Holding Room

  • Inspected

  • Floors

  • Walls

  • Doors

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Store Rooms (3)

  • Inspected

  • Floors

  • Walls

  • Doors

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Male Toilet

  • Inspected

  • Floors

  • Walls

  • Doors

  • Furnishings

  • Vents/Fans

  • Bins

  • Sinks

  • Toilet

  • Shower

  • Mirror

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Female Toilet

  • Inspected

  • Floors

  • Walls

  • Doors

  • Furnishings

  • Vents/Fans

  • Bins

  • Sinks

  • Toilet

  • Shower

  • Mirror

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Locker Room

  • Inspected

  • Floors

  • Walls

  • Doors

  • Furnishings

  • Vents/Fans

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Lift O/S

  • Inspected

  • Walls

  • Doors

  • Furnishings

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

Carpets All Levels

  • Inspected

  • Floors

  • Safety Environment

  • Trip Hazards

  • Wet Floors/Spills

GENERAL SAFETY AND ENVIRONMENT

Chemical Management

  • Stored correctly (In ventilated area) away from drains

  • Containers correctly labelled identifying contents

  • SDS on site and readily accessible

  • SDS in date (no older than 5 years)

  • Used correctly as per manufacturer's recommendations

  • Waste and empty containers disposed of correctly

  • Correct PPE available as per SDS

Electrical Equipment

  • Tested and current tag attached

  • In good condition (no exposed wires, plug/s intact, no damage, etc)

  • Excessive noise

  • Dust emissions

  • Stored correctly

Hygiene

  • Colour-coded cloths

  • Cloths stored separately

  • Correct PPE available

COMPLETION

  • Completed by

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