OSS Compliance Audit

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Technician being audited

Arrival on site

• Did the service person park in a safe location on or near the customers site?

  Yes

  No

  N/A

• Did the service person review their PDA or run sheet to assess what was being serviced?

  Yes

  No

  N/A

Preparation for service

• Was the trolley safely removed from the vehicle?

  Yes

  No

  N/A

• Was the trolley checked to see if it was visually clean ready for use?

  Yes

  No

  N/A

• Was the trolley loaded correctly with the consumables needed to conduct the service?

  Yes

  No

  N/A

Performing the service

• Was the route to the washroom navigated in a controlled and site friendly way?

  Yes

  No

  N/A

• Did the colleague knock on the door of the washroom/cubicle and wait before entering?

  Yes

  No

  N/A

• Was the the trolley correctly positioned while the OSS took place?

  Yes

  No

  N/A

• Was the FHU visually inspected before touching?

  Yes

  No

  N/A

• Were gloved hands sanitised before touching the FHU?

  Yes

  No

  N/A

• Was the FHU sprayed with sanitiser in the correct order (exterior of the unit and inside the lid flap)?

  Yes

  No

  N/A

• Was the lid of the FHU correctly placed during the OSS?

  Yes

  No

  N/A

• Was the waste and bin liner bag correctly tipped into the trolley, was the bag lifted up using only the T handle while held away from the service person?

  Yes

  No

  N/A

• Was the bin liner bag correctly installed inside the FHU base to ensure that the waste drops to the bottom and the bag cannot be sen with the lid on?

  Yes

  No

  N/A

• Were the surfaces of the lid checked and cleaned before fitting back on the FHU base?

  Yes

  No

  N/A

• Were the surfaces of the FHU wipes in the correct order?

  Yes

  No

  N/A

• Was the lid placed back on the FHU correctly?

  Yes

  No

  N/A

• Was the FHU left in the correct position?

  Yes

  No

  N/A

• Have the gloves been taken off before leaving the washroom?

  Yes

  No

  N/A

Leaving site

• Was all waste taken away from site?

  Yes

  No

  N/A

• Was the site left in a clean and tidy manner?

  Yes

  No

  N/A

• Was the customer effectively communicated with?

  Yes

  No

  N/A

• Was the PDA/run sheet signed by the customer, or was the site barcode scanned?

  Yes

  No

  N/A

Safe working

• Is the service persons vehicle clean and presentable?

  Yes

  No

  N/A

• Is all equipment stored correctly within the vehicle (nothing stored in the drivers cabin)?

  Yes

  No

  N/A

• Was the service person able to locate their first aid kit?

  Yes

  No

  N/A

• Was the service person able to locate their spill kit?

  Yes

  No

  N/A

• Was all PPE clean and stored correctly?

  Yes

  No

  N/A

• Did the service person understand how to use all PPE?

  Yes

  No

  N/A

• Please rate the level of service between 1 to 10 with 1 being poor and 10 exceeding expectations.

• Enter agreed actions in point form based on audit findings

• Service technician has reviewed audit with auditor and signs as confirmation.

  Sign

• Confirmation signature from Auditor

  Sign