Josette Bendickson

Out Buildings

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Title Page

Document No.
Audit Title
Client / Site
Conducted on
Prepared by
Location
Personnel

Check if the floor was vacuumed.
Check garbage; shredder? Regular? Red bag?
Where counters and sinks wiped down?
Furniture cleaned?
High touch areas; light switches, door knobs, hand rails etc.?
Check for dust
Wall fixtures
Vacuum Stairs
Check if the doors and windows are locked?
Bathroom shower
Bathroom toilet
Bathroom hand rails
Bathroom sink
Bathroom Sani-Sak/ Garbage
Bathroom hand rails
Bathroom mirror
Exam Table
Exam Bed
Exam Chairs
Exam room sink
Exam room desk top
Check all Dispensers
Exam room mirrors

Josette Bendickson

Out Buildings

Use this Template

Print as PDF

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.