Title Page

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Score

  • Presentation Standards:

    P: Pass = 1 Point

    IR: Improvement Required = 0

    F: Failed = -1 Points

Plantroom & Roof

  • Fire Stairs

  • Plantroom Clean

  • Roof Area Clean

  • Blower & Wet Vac Clean

Level

  • Level

Female Toilets

  • Vanity, Sinks & Mirrors

  • Toilets Bowls<br>

  • Walls & Partitions

  • Doors & Floor

  • Bin

  • Vents & Ceiling

Male Toilets

  • Vanity, Sinks & Mirrors

  • Toilet Bowls

  • Walls & Partitions

  • Urinals

  • Doors & Floor

  • Bin

  • Vents & Ceiling

Common Area

  • Floor Area

  • Walls & Doors

  • Lift Doors

  • Dusting

Level

  • Level

Female Toilets

  • Vanity, Sinks & Mirrors

  • Toilets Bowls<br>

  • Walls & Partitions

  • Doors & Floor

  • Bin

  • Vents & Ceiling

Male Toilets

  • Vanity, Sinks & Mirrors

  • Toilet Bowls

  • Walls & Partitions

  • Urinals

  • Doors & Floor

  • Bin

  • Vents & Ceiling

Common Area

  • Floor Area

  • Walls & Doors

  • Lift Doors

  • Dusting

Level

  • Level

Female Toilets

  • Vanity, Sinks & Mirrors

  • Toilets Bowls<br>

  • Walls & Partitions

  • Doors & Floor

  • Bin

  • Vents & Ceiling

Male Toilets

  • Vanity, Sinks & Mirrors

  • Toilet Bowls

  • Walls & Partitions

  • Urinals

  • Doors & Floor

  • Bin

  • Vents & Ceiling

Common Area

  • Floor Area

  • Walls & Doors

  • Lift Doors

  • Dusting

Foyer

Common Area

  • Glass

  • Floor

  • Fire Panel Normal

Disabled Toilets

  • Toilet Bowl, Sink & Mirror

  • Walls & Doors

  • Floor

  • Bin

Loading Dock

  • General Clean

  • Hose Connected & working

  • Toilet

Car Park

  • General Cleaning

  • Cleaners Room

  • Fire Stairs Clean & Clear

  • Fire Control, Pump, Main Switch - Clean & Clear

Signing

  • ecynergy

  • Millennium

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.