Site Specific

Cleaner has been indicted to Blue Sky Services

Cleaner has been inducted to the site

SWMS - Safe Work Method Statement - Observed and Completed

Cleaning Specification and Scope- Educate Cleaner in Detail

Recycling and Waste Disposal Options- Educate cleaner in Detail

Site manual available and up to date


Work areas free from excess materials, rubbish and Obstructions

Floor surfaces safe and well maintained

Steps and stairways well lit and clear of obstructions

Equipment are stored safely

Environmental Concerns

Hazard identified and controlled

Appropriate water disposal available ( cleaners room sink , toilet bowl )

Waste and recycling options available ( General rubbish, Recycle, Commingle, Organic)

Adequate Spill control available ( Rags, mops)

Onsite evacuation plan available

Chemicals stored appropriately

Potential for noise problems

Occupational Health and Safety - General

Hazards identified and controlled

Aisles and Hallways - Obstructions

Aisles and Hallways - Lighting

Aisles and Hallways - Wide Enough and Access

Personal Protective Equipment ( PPE ) available and staff are using

Occupational Health and Safety - Equipment

Broken plugs, sockets, and switches

Frayed or defective leads

Equipment and leads - Tested and Tagged

Equipment in good working order ( Visual)

Cable trip hazards

Staff are trained to use the equipment

Material Safety Data Sheets ( MSDS)

MSDS sighted

MSDS expiry date
Manual Handling

Equipment stored to minimise risks

Access to high shelves

Personal Safety and Security

Safe access to and from site / parking

External doors kept secure

Staff mobile phone carried and functional

Staff are aware of safety procedures and emergency contacts

Emergency Control- If applicable

Emergency control procedures posted in the cleaners room

Emergency exits sighted and clear if obstructions

Firefighting equipment sighted and accessible / serviced and tagged

First aid cabinet accessible and sighted and socked

Head Office Only

Flammable materials are isolated

Fuel containers in trailers isolated from

Materials safety located in shelves

Trolleys available for handling materials

Next OHSE inspection
Due Date
Inspection is completed to the next if my knowledge and experience
Cleaner Declaration
Onsite Inspection was completed and I was at present

Cleaners Name

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.