Northern Dental design & Laser Clinic

• VisionFS-Cleaning Audit

• Document No.

• GMHBA Level 2,49 Malop st,Geelong

• Conducted on

  Date

• Toni Bonnici

• Location
  Address

• Personnel

• Select date

  Date

General

Cleaning Employee/Employee's

• Are the cleaners trained to use the correct chemicals at the site?

  Yes

  No

  N/A

• Are cleaners fully dressed in the correct uniforms?

  Yes

  No

  N/A

• Is equipment clean?

  Yes

  No

  N/A

• Is area where Mops & Buckets left Clean and presentable?

  Yes

  No

  N/A

• Is Safety file or company file In place and in order?

  Yes

  No

  N/A

• Comments

General Inspection of Site

• entrance way & reception area Floors clean?

  Yes

  No

  N/A

• Dusting of skirtings and marks removed from walls

  Yes

  No

  N/A

• Glass Spot cleaned and marks removed

  Yes

  No

  N/A

• Waste Bins emptied ?

  Yes

  No

  N/A

• quarterly floor scrub completed

  Yes

  No

  N/A

• Comments

Kitchen area

• floors clean and free of rubbish ?

  Yes

  No

  N/A

• Dusting done in accessible area's?

  Yes

  No

  N/A

• Kitchen benches wiped down

  Yes

  No

  N/A

• Skirting's dusted

  Yes

  No

  N/A

• Comments

Dental rooms & laser rooms

• floors clean and free of rubbish ?

  Yes

  No

  N/A

• Dusting done in accessible area's?

  Yes

  No

  N/A

• Kitchen benches wiped down

  Yes

  No

  N/A

• Skirting's dusted

  Yes

  No

  N/A

• Comments

Toilets

• Basins clean?

  Yes

  No

  N/A

• Urinals clean?

  Yes

  No

  N/A

• Toilets clean?

  Yes

  No

  N/A

• Shower base scrubbed

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls and doors clean?

  Yes

  No

  N/A

• Hygiene done regularly?

  Yes

  No

  N/A

• Consumables are filled?

  Yes

  No

  N/A

• Comments

Authorisation signatures

• Cleaning Specialist Manager

  Sign

• Cleaner on shift

  Sign

• Cleaner on shift

  Sign

• General Manager of Site

  Sign

• Yes

  No

  N/A