Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Cleaning/Caretaking

  • Appropriately dressed staff?

  • Clean floors?

  • Safe vinyl floors?

  • Clean walls/paint work

  • Dusting high level

  • Dusting low level

  • Internal glazing

  • Fixtures and fittings

  • Cleaning store locked

  • Cleaning store tidy

  • Radiators

  • Computer/Office equipment

  • Furniture

Waste

  • Clinical waste securely stored

  • External bins locked

  • Adequate number of bins

  • Waste correctly segregated

  • Internal bins clean and rust free

Windows

  • Clean

  • Cleaned as per schedule

Blinds

  • Clean and tidy

Curtains

  • Clean

  • Disposable curtains not out of date

  • In good condition

  • Correct type for location

Carpets

  • Clean

  • Not excessively worn

  • Correct type for environment

Grounds Maintenance

  • Visits completed as per schedule

  • Comprehensive records of site visit

  • Grounds neat and tidy

  • Parking areas clear of foliage

  • Tidy and safe pathways

  • Tidy internal planting arrangements

  • Tidy flower beds and borders

  • Tidy hedges, shrubs and trees

  • Well maintained gardens

  • Grass cut

Security

  • Services carried out as per scheduled

  • Helpful

  • Responsive

(CONTRACTED OUT) Reception Services

  • Well presented reception

  • Appropriately dressed

  • Responsive switchboard

  • Reliable site activity log

  • Parcel delivery service up to date

  • Visitor ID system in place and running

Pest Control

  • Records of pest control treatments

  • Responsive pest control services

  • Visits completed as per schedule

Cleaning Schedule Displays

  • Public WC sign off schedule on display

  • Cleaning frequency schedule on display

H&S COSHH

  • COSHH records available

  • Staff training records up to date

INPATIENT SERVICES

CATERING

  • HACCP file available

  • Displayed menus up to date

  • Well presented food

  • Adequate meal portions

  • Good quality food

  • Varied range of meals

  • Adherence to hygiene regulations

  • Staff food handling

  • Temperature checks recorded for Hot & Cold

  • Delivered on time

  • Good quality beverages

  • Cutlery is clean

  • Table well presented

  • Appropriately dressed staff

KITCHEN (INC STAFF BEVERAGE AREAS)

  • Low level clean

  • High level clean

  • Microwave clean

  • Ovens clean

  • Fridge and freezer clean

  • Sink clean

  • Surfaces clean

  • Trolleys clean

LINEN/LAUNDRY

  • Good quality linen

  • Clean linen

  • Adequately stored

  • Reliable delivery service

  • Comprehensive service records

  • Laundry equipment serviced and in good condition

WASHROOMS

  • Toilets clean

  • Stock levels good (hand towels,soap,etc)

  • Hand basins and taps clean and free of scale

  • Bath clean and free of scale

  • Shower and shower head clean and free of scale

  • Hoists clean

  • Grab rails clean

  • Changing rooms clean

  • Vents clean and dust free

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.