Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

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

Housekeeping

  • 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)<br>

  • 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<br>Flammables

  • 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

  • Signature

Cleaner Declaration

  • Onsite Inspection was completed and I was at present

  • Cleaners Name

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