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

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.