Title Page

  • Audit Title

  • Department

  • Location / Storage area

  • Conducted on

  • Prepared by

  • Personnel


Asset / Reference number

Mattress integrity

  • There is no evidence of perishing; namely changes in color, thickness, strength and texture of the impermeable mattress cover?

  • There are no tears on either sides of the mattress and the cover is intact?

  • Are all the seams intact with no splitting or loose parts?

  • Is the foam recoiling to the standard size when compressed?

  • Is the size of the mattress proportionate to the size of the bed frame?

Function / Safety

  • Is the Table complete and with no loose or any missing parts?

  • Is the Table free from any damage?

  • Is the remote matching and working with Table?

  • Is the Table Stable?

  • Attach photo as necessary


  • Is the Table clean?

Employee ID ang Signature

  • Employee ID

  • Sign here

  • Attach photo as needed

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.