• Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel


  • Landscape maintained

  • Parking lot clean


  • Good first impression

  • Free of odors

  • Floor maintained

General Area

  • Lighting adequate and operational

  • Temperature is comfortable

  • Area is free from odors

  • Noise level is acceptable/adequately controlled.

  • Ventilation is adequate

  • Stair treads in good condition

  • Handrails present, safe and secure

  • Electrical equipment tested, tagged and safe

  • Electrical switches/sockets in good condition

  • Furniture safe and undamaged

  • Other concerns

  • Work space free of clutter

  • One side of corridor being used

  • Hazard areas secured

  • Doors meet NFPA

  • Other concerns


  • Access and egress paths clear

  • Fire fighting equipment easily accessible

  • Fire fighting equipment checked as required

  • Other concerns


  • Drains (floor and sink) clear and free flowing

  • Plumbing in good condition

  • Fridge clean, good condition

  • Microwave clean and maintained

  • Oven/stove safe and clean

  • Area free from pests or evidence thereof

  • Self closing doors

  • Breaker panels clear and lock


  • Seating available and safe

  • Tables safe and clean

  • Waste and cigarette butt bins available

  • Boundary fences safe and secure

  • Overhead structures safe and secure

  • Gutters and down spout is in good condition

  • Out Building is in good condition

  • Other concerns


  • Cooking area clean and free from waste/rubbish

  • Area around Grill free of grease

  • Grill safe and in good condition

  • Gas supply secured cooker/heater

  • Walking path safe

  • Equipment secured from resident

  • Other concerns


  • Electrical equipment in good condition

  • Lighting operating as designed

  • Floor/area free from water and being wet

  • Dryer filter clean

  • Rears of dryers clear and clean

  • Folding area cutter free and clean

  • Other concerns


  • Clean behind and under furniture

  • Bathroom clean and supplied with paper towel and toilet paper

  • Resident rooms odor free

  • Residents Floors clean

  • Linen in good condition

  • Room Deep cleaning schedule is available

  • Other concerns in residents room

  • Other concerns

Boiler room and electrical rooms

  • Cutter free<br>

  • Breaker panel labeled

  • Fire extinguisher

  • Door secured

  • Other concerns in boiler room


  • Weekly TELS task up to date

  • Critical managed

  • Fire drills current

  • Other concerns


  • Other comments

Sign Off

  • On site manager signature

  • Regional signature

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.