Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

ROOM 1

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 2

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 3

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 4

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 5

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 6

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 7

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 8

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 9

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 10

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 11

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 12

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 13

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 14

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 15

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 16

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 17

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 18

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 19

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 20

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

ROOM 21

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

  • CHARGEABLE ITEMS

OFFICE

  • IS OFFICE CLEAN?

  • MAINTENANCE ISSUES

STAFF ROOM BASEMENT

  • IS THE ROOM CLEAN?

  • MAINTENANCE ISSUES

CORRIDORS

  • ARE CORRIDORS CLEAN?

  • MAINTENANCE ISSUES

ELECTRICAL CUPBOARDS/HOT WATER STORAGE

  • MAINTENANCE ISSUES

LOUNGE

  • IS LOUNGE CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

DINNING AREA

  • IS DINNING AREA CLEAN?

  • Is the flooring in good condition?

  • MAINTENANCE ISSUES

SMALL KITCHENETTE

  • IS THE KITCHINETTE CLEAN?

  • MAINTENANCE ISSUES

COMMUNAL TOILETS

  • ARE TOILETS CLEAN?

  • MAINTENANCE ISSUES

STORAGES

  • MAINTENANCE ISSUES

KITCHEN

  • IS KITCHEN CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in good working order?

  • MAINTENANCE ISSUES

FOOD STORAGE

  • IS FOOD STORAGE CLEAN?

  • MAINTENANCE ISSUES

  • FOOD STORED PROPERLY

LAUNDRY

  • IS LAUNDRY CLEAN?

  • MAINTENANCE ISSUES

COSHH CUPBOARD

  • MAINTENANCE ISSUES

LINEN CUPBOARD

  • IS STORAGE CLEAN?

  • MAINTENANCE ISSUES

OUTSIDE PREMISES

  • MAINTENANCE ISSUES

  • Does the area look presentable?

  • Are the paths free from obstruction?

OTHER

  • Name

  • Date

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.