• Date and Time of Check

  • Person Conducting Check

  • If a permitted item cannot be found contact your Supervisor immediately.
    If a permitted item is observed to be in poor condition contact your Supervisor immediately.

  • Is 1 X Bannister Brush soft Green Present ?

  • Is 1 X Bannister Brush soft Green in good condition

  • Is 1 X Dustpan ergo Green Present ?

  • Is 1 X Dustpan ergo Green in good condition ?

  • Is 1 X Squeegee Green W/rubber Present ?

  • Is 1 X Squeegee Green W/rubber in good condition ?

  • Is 1 X Shovel ergo Handle Green Present ?

  • Is 1 X Shovel ergo Handle Green in good condition ?

  • Is 1 X Scraper Blue Metal Present ?

  • Is 1 X Scraper Blue Metal in good condition ?

  • Are 3 X Metal Rods with Hooks Present ?

  • Are 3 X Metal Rods with Hooks in good condition ?

  • Is 1 X Food contact Hook Present ?

  • Is 1 X Food contact Hook in good condition ?

  • Is 1 X Broom medium Green Present ?

  • Is 1 X Broom medium Green in good condition ?

  • Is 1 X Brush with Handle Present ?

  • Is 1 X Brush with Handle in good condition ?

  • Is 1 X Crowbar Present ?

  • Is 1 X Crowbar in good condition ?

  • Is 1 X Digital Thermometer Present ?

  • Is 1 X Digital Thermometer in good condition ?

  • Supervisor Verification

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.