Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Survey Findings

Initial Findings

  • Level of Internal Hygiene

  • Level of Internal Maintenance

  • Level of External Hygiene

  • Level of External Maintenance

  • Environmental Observations
  • Details of Issue Found

  • More Information

  • Photo Evidence

  • Proposed Correction Method

  • Recommended Start Date

  • Recommended Timescale

  • Responsible Person

  • Pest Activity Observed
  • Pests Observed

  • Infestation Level

  • More Information

  • Proposed Correction Method

  • Recommended Start Date

  • Recommended Deadline

  • Responsible Person

Key Findings

  • Key Finding of this Survey

  • Recommended Timescale for corrective action

  • Technician Signature

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.