Title Page
Inspection information
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Document number
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Conducted on
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Prepared by
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1. If an item has issues or if there is something to report specify in notes, and take photo.
2. Cleaning Definitions - please use this definition to score cleaning throughout the inspection:
"EXCELLENT"
• Benches - NO food or non-standard items on benches, NO soap residue, metal is shiny with NO streaks.
• Cabinets, shelving, fixtures, and furniture. - NO dust/dirt
• Floors including crevices or floor trim - NO dust/dirt or soap/water stains or residue
• NO spiderwebs or spiders throughout including over 2 metres high.
• ALL sinks, commodes, urinals, counter tops, partitions, grab bars, ceilings, tiles, walls, dispensers, showers and shower curtains - clean and sanitised - NO mould or mildew.
"GOOD"
• Benches - NO food or non-standard items on benches, NO soap residue, metal is shiny with NO streaks.
• Cabinets, shelving, fixtures, and furniture. - NO dust/dirt
• Floors including crevices or floor trim - SOME dust/dirt or soap/water stains or residue
• NO spiderwebs or spiders throughout including over 2 metres high.
•ALL sinks, commodes, urinals, counter tops, partitions, grab bars, ceilings, tiles, walls, dispensers, showers and shower curtains - clean and sanitised - NO mould or mildew.
"FAIR"
• Benches - NO food or non-standard items on benches, NO soap residue, metal is shiny with NO streaks.
• SMALL AMOUNT of dust/dirt on cabinets, shelving, fixtures, and furniture.
• SMALL AMOUNT of dust/dirt or soap/water stains and residue on floors including crevices or floor trim.
• SMALL AMOUNT of spiderwebs.
• NO mould or mildew and ALL sinks, commodes, urinals, counter tops, partitions, grab bars, ceilings, tiles, walls, dispensers, showers and shower curtains are clean and sanitised.
• THERE IS dust or spiderwebs in areas over 2 metres high.
"POOR "
• VISIBLE AMOUNT of food or other items on benches, soap residue, metal is clean but has streaks.
• VISIBLE AMOUNT of dust/dirt on cabinets, shelving, fixtures, and furniture.
• VISIBLE AMOUNT of dust/dirt or soap/water stains and residue on floors including crevices or floor trim.
• VISIBLE AMOUNT of spiderwebs.
• ALL sinks, commodes, urinals, counter tops, partitions, grab bars, ceilings, tiles, walls, dispensers, showers and shower curtains are clean and sanitised.
• There is PINK MOULD ONLY starting to show in wet areas. NO BLACK MOULD.
• THERE IS dust or spiderwebs in areas over 2 metres high.
"FAILED"
• EASILY VISIBLE- LARGE AMOUNT OF Food or other items and does not look or smell as if it had been cleaned at last visit.
• DUST AND DIRT ON MAJORITY OF cabinets, shelving, fixtures, furniture and has not been wiped.
• DIRT AND SCUM ON AND AROUND metal surfaces.
• DUST AND DIRT ON MAIN AREAS OF THE FLOOR.
• MAJORITY OF AREAS have Spiderwebs.
• MAJORITY OF WET AREAS have mould, mildew in or on sinks, commodes, urinals, counter tops, partitions, grab bars, ceilings, tiles, walls, dispensers, showers and shower curtains.
• NOTE: BLACK MOULD IS IMMEDIATE FAILURE AND MUST BE FOLLOWED UP WITH CLEANER IMMEDIATELY. LOG JOB AND EMAIL PHOTOS.
End the Inspection
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End at
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Sign out
Administration Office
G02, G03, G04,PS02, PS03 - Main Entrance, Lobby, Reception, Passage
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Please inspect the following items:
1. Ceiling, Walls, Flooring, doors
2. Lighting, power points
3. Tables, chairs, stools
4. Benches
5. Counters
6. Wall hangings
7. Card reader
8. Cabinetry -
Are there any maintenance issues you would like to report?
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*** PLEASE select the type of issues BELOW
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Electrical issues
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Carpentry issues
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Painting issues
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Plumbing issues
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White Goods issues
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Other issues
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In regards to the above inspected items, Refer to the Title page - 2. Cleaning Definitions and rate the cleaning performance of the above.
NOTE: All Failures must be actioned immediately. -
Cleaning Performance Rating
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Please inspect the following OHS items and the following questions:
NOTE: All items must be reported below and actioned immediately.
*Items:
1. Smoke detectors , Sprinklers
2. Emergency light, evacuation diagram
*Questions:
1. Are evacuation diagrams and emergency numbers clearly displayed?
2. Are the emergency lights and signage provided and working?
3. Are the exit doors marked and clearly visible? Can these be opened from the inside? Are they in the closed position?
4. Are the corridors and doors clear of obstructions, materials, and equipment?
5. Are the fire extinguishers easy to see and access (nothing in front of it), have been inspected within the last 6 months, and have clear, visible signage that are marked for the type of fires to be fought? Is the storage area housing the fire extinguisher empty of any storage items?
6. Are the over head sprinkler systems clear of obstructions, stores and damage?
7. Are there any power points that are over loaded? Are there any leads that look frayed or damaged?
8. Have all leads been tested and tagged within the compliant date range?
9. Are there any trip/slip hazards?
10. Are there any items placed close the a heat source? -
Are there any OHS issues you would like to report?
G05 - Meeting Room
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Please inspect the following items:
1. Ceiling, walls, flooring, doors
2. Lighting, power points
3. Windows,blinds
4. Phone
5. Media and entertainment system, screen
6. Tables, chairs
7. Printers -
Are there any maintenance issues you would like to report?
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*** PLEASE select the type of issues BELOW
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Electrical issues
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Carpentry issues
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Painting issues
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Plumbing issues
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White Goods issues
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Other issues
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In regards to the above inspected items, Refer to the Title page - 2. Cleaning Definitions and rate the cleaning performance of the above.
NOTE: All Failures must be actioned immediately. -
Cleaning Performance Rating
-
Please inspect the following OHS items and the following questions:
NOTE: All items must be reported below and actioned immediately.
*Items:
1. Smoke detectors , Sprinklers
*Questions:
1. Are the emergency lights and signage provided and working?
2. Are the corridors and doors clear of obstructions, materials, equipment and any tripping hazard?
3. Are the overhead sprinkler systems clear of obstructions, stores and damage?
4. Are there any power points that are over loaded? Are there any leads that look frayed or damaged?
5. Have all leads been tested and tagged within the compliant date range?
6. Are there any trip/slip hazards?
7. Are there any items placed close a heat source?
8. Are there any waste bins overflowing in, or around, the bins? -
Are there any OHS issues you would like to report?
G06 - Front Office Disabled Toilet
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Please inspect the following items
1. Ceiling, walls, flooring, doors
2. Lighting, power points
3. Handrails, duress button
4. Toilet, toilet paper dispenser, sanitary bin
5. Basins, mirror, hand wash foam dispensers, hand dryer -
Are there any maintenance issues you would like to report?
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*** PLEASE select the type of issues BELOW
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Electrical issues
-
Carpentry issues
-
Painting issues
-
Plumbing issues
-
White Goods issues
-
Other issues
-
In regards to the above inspected items, Refer to the Title page - 2. Cleaning Definitions and rate the cleaning performance of the above.
NOTE: All Failures must be actioned immediately. -
Cleaning Performance Rating
-
Please inspect the following OHS items and the following questions:
NOTE: All items must be reported below and actioned immediately.
*Items:
1. Sprinklers
*Questions:
1. Are the corridors and doors clear of obstructions, materials, and equipment?
2. Are the overhead sprinkler systems clear of obstructions, stores and damage?
3. Are there any trip/slip hazards?
4. Have the waste bins been empty with no excess rubbish on the floor?
5. There is no storage of combustible or flammable materials near a heat source or up high where may be spilled?
6. Are all hand rails sturdy and showing no damage? -
Are there any OHS issues you would like to report?
Cleaner's cupboard
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Are there any issues you would like to report?
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What is the planned inspection date?
G08 - Front Office Toilet
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Please inspect the following items
1. Ceiling, walls, flooring, doors
2. Lighting, power points
3. Toilet, toilet paper dispenser, sanitary bin
4. Basins, mirror, hand wash foam dispensers, hand dryer -
Are there any maintenance issues you would like to report?
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*** PLEASE select the type of issues BELOW
-
Electrical issues
-
Carpentry issues
-
Painting issues
-
Plumbing issues
-
White Goods issues
-
Other issues
-
In regards to the above inspected items, Refer to the Title page - 2. Cleaning Definitions and rate the cleaning performance of the above.
NOTE: All Failures must be actioned immediately. -
Cleaning Performance Rating
-
Please inspect the following OHS items and the following questions:
NOTE: All items must be reported below and actioned immediately.
*Items:
1. Sprinklers
*Questions:
1. Are the corridors and doors clear of obstructions, materials, and equipment?
2. Are the overhead sprinkler systems clear of obstructions, stores and damage?
3. Are there any trip/slip hazards?
4. Have the waste bins been empty with no excess rubbish on the floor?
5. There is no storage of combustible or flammable materials near a heat source or up high where may be spilled?
6. Are all hand rails sturdy and showing no damage? -
Are there any OHS issues you would like to report?
G10 - Staff Entrance
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Please inspect the following items
1. Ceiling, walls, flooring, doors
2. Lighting, power points
3. Cabinetry -
Are there any maintenance issues you would like to report?
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*** PLEASE select the type of issues BELOW
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Electrical issues
-
Carpentry issues
-
Painting issues
-
Plumbing issues
-
White Goods issues
-
Other issues
-
In regards to the above inspected items, Refer to the Title page - 2. Cleaning Definitions and rate the cleaning performance of the above.
NOTE: All Failures must be actioned immediately. -
Cleaning Performance Rating
-
Please inspect the following OHS items and the following questions:
NOTE: All items must be reported below and actioned immediately.
*Items:
1. Smoke detectors , Sprinklers
2. Emergency Light, Emergency Alarm, Emergency phone, Evacuation Diagram
*Questions:
1. Are evacuation diagrams and emergency numbers clearly displayed?
2. Are the emergency lights and signage provided and working?
3. Are the exit doors marked and clearly visible? Can these be opened from the inside? Are they in the closed position?
4. Are the corridors, stairways, and doors clear of obstructions, materials, and equipment?
5. Are the fire extinguishers easy to see and access (nothing in front of it) , inspected within the last 6 months, and have clear, visible signage marked for the type of fires to be fought? Is the storage area housing the fire extinguisher empty of any storage items?
6. Are the overhead sprinkler systems clear of obstructions, stores and damage?
7. Are there any power points over loaded? Are there any leads that look frayed or damaged?
8. Have all leads been tested and tagged within the compliant date range?
9. Are there any trip/slip hazards?
10. Are there any waste bins overflowing in, or around, the bins? -
Are there any OHS issues you would like to report?
G11 - Office
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Please inspect the following items:
1. Ceiling, walls, flooring, doors
2. Lighting, power points
3. Windows,blinds
4. Desks, chairs
5. Air conditioners
6. Cabinetry -
Are there any maintenance issues you would like to report?
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*** PLEASE select the type of issues BELOW
-
Electrical issues
-
Carpentry issues
-
Painting issues
-
Plumbing issues
-
White Goods issues
-
Other issues
-
In regards to the above inspected items, Refer to the Title page - 2. Cleaning Definitions and rate the cleaning performance of the above.
NOTE: All Failures must be actioned immediately. -
Cleaning Performance Rating
-
Please inspect the following OHS items and the following questions:
NOTE: All items must be reported below and actioned immediately.
*Items:
1. Smoke detectors , Sprinklers
*Questions:
1. Are the emergency lights and signage provided and working?
2. Are the corridors and doors clear of obstructions, materials, equipment and any tripping hazard?
3. Are the overhead sprinkler systems clear of obstructions, stores and damage?
4. Are there any power points that are over loaded? Are there any leads that look frayed or damaged?
5. Have all leads been tested and tagged within the compliant date range?
6. Are there any trip/slip hazards?
7. Are there any items placed close a heat source?
8. Are there any waste bins overflowing in, or around, the bins? -
Are there any OHS issues you would like to report?
G12 - Office
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Please inspect the following items:
1. Ceiling, walls, flooring, doors
2. Lighting, power points
3. Windows,blinds
4. Desks, chairs
5. Air conditioners
6. Cabinetry -
Are there any maintenance issues you would like to report?
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*** PLEASE select the type of issues BELOW
-
Electrical issues
-
Carpentry issues
-
Painting issues
-
Plumbing issues
-
White Goods issues
-
Other issues
-
In regards to the above inspected items, Refer to the Title page - 2. Cleaning Definitions and rate the cleaning performance of the above.
NOTE: All Failures must be actioned immediately. -
Cleaning Performance Rating
-
Please inspect the following OHS items and the following questions:
NOTE: All items must be reported below and actioned immediately.
*Items:
1. Smoke detectors , Sprinklers
2. Emergency lights
*Questions:
1. Are the emergency lights and signage provided and working?
2. Are the corridors and doors clear of obstructions, materials, equipment and any tripping hazard?
3. Are the overhead sprinkler systems clear of obstructions, stores and damage?
4. Are there any power points that are over loaded? Are there any leads that look frayed or damaged?
5. Have all leads been tested and tagged within the compliant date range?
6. Are there any trip/slip hazards?
7. Are there any items placed close a heat source?
8. Are there any waste bins overflowing in, or around, the bins? -
Are there any OHS issues you would like to report?
G17 - Kitchen
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Please inspect the following items
1. Ceiling, walls, flooring, doors
2. Power points, lighting
3. Chairs, table, couches
4. Bins
5. Pin board
6. Microwave, kettle, sandwich press, coffee machine, fridge
7. Basin
8. Cabinetry -
Are there any maintenance issues you would like to report?
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*** PLEASE select the type of issues BELOW
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Electrical issues
-
Carpentry issues
-
Painting issues
-
Plumbing issues
-
White Goods issues
-
Other issues
-
In regards to the above inspected items, Refer to the Title page - 2. Cleaning Definitions and rate the cleaning performance of the above.
NOTE: All Failures must be actioned immediately. -
Cleaning Performance Rating
-
Please inspect the following OHS items and the following questions:
NOTE: All items must be reported below and actioned immediately.
*Items:
1. Sprinklers
*Questions:
1. Are the benches clean and free of food and waste?
2. Are the fire extinguishers/blankets easy to see and access (nothing in front of it), inspected within the last 6 months, and have clear, visible signage marked for the type of fires to be fought? Is the storage area housing the fire extinguisher empty of any storage items?
3. Are the overhead sprinkler systems clear of obstructions, stores and damage?
4. Are there any power points over loaded? Are there any leads that look frayed or damaged?
5. Have all leads been tested and tagged within the compliant date range?
6. Are there any trip/slip hazards?
7. Are there any waste bins overflowing in, or around, the bins?
8. Are there any hazardous chemicals (cleaning or otherwise) left on the bench? Are there any flammable items stored next to a heat source? -
Are there any OHS issues you would like to report?
G18 -Back Office Disabled Toilet
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Please inspect the following items
1. Ceiling, walls, flooring, doors
2. Lighting, power points
3. Handrails, duress button
4. Toilet, toilet paper dispenser, sanitary bin
5. Basins, mirror, hand wash foam dispensers, hand dryer
6. Shower cubicles, shower caddy -
Are there any maintenance issues you would like to report?
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*** PLEASE select the type of issues BELOW
-
Electrical issues
-
Carpentry issues
-
Painting issues
-
Plumbing issues
-
White Goods issues
-
Other issues
-
In regards to the above inspected items, Refer to the Title page - 2. Cleaning Definitions and rate the cleaning performance of the above.
NOTE: All Failures must be actioned immediately. -
Cleaning Performance Rating
-
Please inspect the following OHS items and the following questions:
NOTE: All items must be reported below and actioned immediately.
*Items:
1. Sprinklers
*Questions:
1. Are the corridors and doors clear of obstructions, materials, and equipment?
2. Are the overhead sprinkler systems clear of obstructions, stores and damage?
3. Are there any trip/slip hazards?
4. Have the waste bins been empty with no excess rubbish on the floor?
5. There is no storage of combustible or flammable materials near a heat source or up high where may be spilled?
6. Are all hand rails sturdy and showing no damage? -
Are there any OHS issues you would like to report?
Cleaner's cupboard
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Are there any issues you would like to report?
-
What is the planned inspection date?
G19 - Back Office Toilet
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Please inspect the following items
1. Ceiling, walls, flooring, doors
2. Lighting, power points
3. Toilet, toilet paper dispenser, sanitary bin
4. Basins, mirror, hand wash foam dispensers, hand dryer -
Are there any maintenance issues you would like to report?
-
*** PLEASE select the type of issues BELOW
-
Electrical issues
-
Carpentry issues
-
Painting issues
-
Plumbing issues
-
White Goods issues
-
Other issues
-
In regards to the above inspected items, Refer to the Title page - 2. Cleaning Definitions and rate the cleaning performance of the above.
NOTE: All Failures must be actioned immediately. -
Cleaning Performance Rating
-
Please inspect the following OHS items and the following questions:
NOTE: All items must be reported below and actioned immediately.
*Items:
1. Sprinklers
*Questions:
1. Are the corridors and doors clear of obstructions, materials, and equipment?
2. Are the overhead sprinkler systems clear of obstructions, stores and damage?
3. Are there any trip/slip hazards?
4. Have the waste bins been empty with no excess rubbish on the floor?
5. There is no storage of combustible or flammable materials near a heat source or up high where may be spilled?
6. Are all hand rails sturdy and showing no damage? -
Are there any OHS issues you would like to report?
G21 - Store Room
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Please inspect the following items:
1. Ceiling, walls, flooring, doors
2. Lighting, power points
3. Compactor , cabinetry, shelf
4. Air conditioner -
Are there any maintenance issues you would like to report?
-
*** PLEASE select the type of issues BELOW
-
Electrical issues
-
Carpentry issues
-
Painting issues
-
Plumbing issues
-
White Goods issues
-
Other issues
-
In regards to the above inspected items, Refer to the Title page - 2. Cleaning Definitions and rate the cleaning performance of the above.
NOTE: All Failures must be actioned immediately. -
Cleaning Performance Rating
-
Please inspect the following OHS items and the following questions:
NOTE: All items must be inspected below and actioned immediately for any failures.
*Items:
1. Smoke detectors , Sprinklers
*Questions:
1. Are the emergency lights and signage provided and working?
2. Are the pathways and doors clear of obstructions, materials, and equipment?
3. Are the fire extinguishers easy to see and access (nothing in front of it), inspected within the last 6 months, and have clear, visible signage marked for the type of fires to be fought? Is the storage area housing the fire extinguisher empty of any storage items?
4. Are the overhead sprinkler systems clear of obstructions, stores and damage?
5. Are there any power points over loaded? Are there any leads that look frayed or damaged?
6. Have all leads been tested and tagged within the compliant date range?
7. Are there any trip/slip hazards? -
Are there any OHS issues you would like to report?
