Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Building:
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Inspector:
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Room #:
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Date:
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Ratings
Rare each time below yes or no based on whether or not it's condition meets the standards. For items that are not applicable for a particular area, leave that rating blank. -
Entry Door
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Comments
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Door Hardware
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Comments
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Lights
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Comments
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HVAC Diffusers
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Comments
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Ceiling
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Comments
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Walls
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Comments
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Windows
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Comments
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Blinds/Drapes
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Comments
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Pictures
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Comments
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Chalkboard
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Comments
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Baseboard
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Comments
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Floor
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Comments
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Chairs
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Comments
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Table
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Comments
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Ash Trays
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Comments
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Waste Receptacle
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Comments
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Total yes:
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Total no:
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Score:
(Yes Rating✖️100)➗(Yes Rating Total➕No Rating Total) = Score (%) -
Score =
