Title Page

  • INSPECTION DATE START

  • WARD /AREA

  • RISK LEVEL

  • SUPERVISOR

  • CLEANER PRESENT DURING THE INSPECTION

  • CLEANER NAME AND SURNAME

OFFICE

  • CP01 - DESK

  • CP02 - TELEPHONE

  • CP03 - MONITOR (TO BE CLEAN ONLY IF IT IS SWITCHED OFF)

  • CP04 - KEYBOARD

  • CP05 - SWITHCES

  • CP06 - SHELVES

  • CP07 - CUPBOARD

  • CP08 - CHAIRS

  • CP09 - SOAP / ALCOHOL DISPENSER

  • CP10 - HAND TOWEL DISPENSER

  • CP11 - SINK AND FIXTURES

  • CP12 - BINS

  • CP13 - FLOOR

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.