Information

  • Audit Title

  • Prepared by

  • Document No.

  • Site name

  • Conducted on

  • Location
  • Attendees

Inspection report requirements and metrics

  • Key:

    Good = 10 points
    Fair = 5 points
    Poor = 0 points

    Yes = 10 points
    No = 0 points
    NA = 10 points

Public toilets - male

  • Overall appearance (urinals, toilets, sinks, toilet seats)

Public toilets - female

  • Overall appearance (urinals, toilets, sinks, toilet seats)

Public toilets - disabled

  • Overall appearance

Front Entrance

  • Floors and edges

  • Cleaned parking pods

Male Dry change

  • Toilet stock level and cleaniness

  • Floor Surfaces

  • Restocked Shampoo dispensers

  • Overall appearance

Changing rooms Wet change

  • Benches/vanities clean

  • Toilet bowls

  • Floor drains

  • Floor surfaces

  • Overall appearance

Baby Change units

  • disenfected

Male Health Suite Changing

  • Floors

  • Shampoo restocked

  • Overall Appearance

Gym Top up

  • Overall appearance

Studio 1

  • Floors Clean and behind equipment

Assessors signatures

  • Duty Manager or authorized representative

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.