Page 1: Initial questions
Conducted on
Date
Inspection Conducted By
Location
Employee
Select
Jess
Anne
Alec
Adam
Abi
Josh
Dave
Ian
Michelle
Bernie
Jess Anne Alec Adam Abi Josh Dave Ian Michelle Bernie
Science
Ceilings/Lights
Acceptable
Unacceptable
Evidence
N/A
Walls/Skirting
Acceptable
Unacceptable
Evidence
N/A
Wall Fixtures
Acceptable
Unacceptable
Evidence
N/A
Ventilation Grills
Acceptable
Unacceptable
Evidence
N/A
Window Curtains/Blinds/Screens
Acceptable
Unacceptable
Evidence
N/A
Doors/Handles/Glass/Brass
Acceptable
Unacceptable
Evidence
N/A
Radiators
Acceptable
Unacceptable
Evidence
N/A
High Level Surfaces, Ledges Etc
Acceptable
Unacceptable
Evidence
N/A
Low Level Surfaces, Windowsills/Trunking/Extinguishers
Acceptable
Unacceptable
Evidence
N/A
Internal Glass/Mirrors
Acceptable
Unacceptable
Evidence
N/A
White/Chalk boards/TV's
Acceptable
Unacceptable
Evidence
N/A
Desks/Tables/Workstations
Acceptable
Unacceptable
Evidence
N/A
Electrical - Telephone/Fans/Heaters/PCs
Acceptable
Unacceptable
Evidence
N/A
Chairs
Acceptable
Unacceptable
Evidence
N/A
Lockers/Bag Storage
Acceptable
Unacceptable
Evidence
N/A
Waste Recepticals
Acceptable
Unacceptable
Evidence
N/A
Hard Floors
Acceptable
Unacceptable
Evidence
N/A
Soft Floors - Carpet/Mats
Acceptable
Unacceptable
Evidence
N/A
Lighting - Wall/Free Standing
Acceptable
Unacceptable
Evidence
N/A
Water Boiler/Water Dispenser
Acceptable
Unacceptable
Evidence
N/A
Cupboards
Acceptable
Unacceptable
Evidence
N/A
Kitchen Appliances
Acceptable
Unacceptable
Evidence
N/A
Bath/Shower
Acceptable
Unacceptable
Evidence
N/A
Toilet/Urinal
Acceptable
Unacceptable
Evidence
N/A
Sink/Sluice/Kitchen/Basin
Acceptable
Unacceptable
Evidence
N/A
Dispensers
Acceptable
Unacceptable
Evidence
N/A
Cleaning Equipment
Acceptable
Unacceptable
Evidence
N/A
Computer Room
Ceilings/Lights
Acceptable
Unacceptable
Evidence
N/A
Walls/Skirting
Acceptable
Unacceptable
Evidence
N/A
Wall Fixtures
Acceptable
Unacceptable
Evidence
N/A
Ventilation Grills
Acceptable
Unacceptable
Evidence
N/A
Window Curtains/Blinds/Screens
Acceptable
Unacceptable
Evidence
N/A
Doors/Handles/Glass/Brass
Acceptable
Unacceptable
Evidence
N/A
Radiators
Acceptable
Unacceptable
Evidence
N/A
High Level Surfaces, Ledges Etc
Acceptable
Unacceptable
Evidence
N/A
Low Level Surfaces, Windowsills/Trunking/Extinguishers
Acceptable
Unacceptable
Evidence
N/A
Internal Glass/Mirrors
Acceptable
Unacceptable
Evidence
N/A
White/Chalk boards/TV's
Acceptable
Unacceptable
Evidence
N/A
Desks/Tables/Workstations
Acceptable
Unacceptable
Evidence
N/A
Electrical - Telephone/Fans/Heaters/PCs
Acceptable
Unacceptable
Evidence
N/A
Chairs
Acceptable
Unacceptable
Evidence
N/A
Lockers/Bag Storage
Acceptable
Unacceptable
Evidence
N/A
Waste Recepticals
Acceptable
Unacceptable
Evidence
N/A
Hard Floors
Acceptable
Unacceptable
Evidence
N/A
Soft Floors - Carpet/Mats
Acceptable
Unacceptable
Evidence
N/A
Lighting - Wall/Free Standing
Acceptable
Unacceptable
Evidence
N/A
Water Boiler/Water Dispenser
Acceptable
Unacceptable
Evidence
N/A
Cupboards
Acceptable
Unacceptable
Evidence
N/A
Kitchen Appliances
Acceptable
Unacceptable
Evidence
N/A
Bath/Shower
Acceptable
Unacceptable
Evidence
N/A
Toilet/Urinal
Acceptable
Unacceptable
Evidence
N/A
Sink/Sluice/Kitchen/Basin
Acceptable
Unacceptable
Evidence
N/A
Dispensers
Acceptable
Unacceptable
Evidence
N/A
Cleaning Equipment
Acceptable
Unacceptable
Evidence
N/A
Mandarin Room and Cloaks
Ceilings/Lights
Acceptable
Unacceptable
Evidence
N/A
Walls/Skirting
Acceptable
Unacceptable
Evidence
N/A
Wall Fixtures
Acceptable
Unacceptable
Evidence
N/A
Ventilation Grills
Acceptable
Unacceptable
Evidence
N/A
Window Curtains/Blinds/Screens
Acceptable
Unacceptable
Evidence
N/A
Doors/Handles/Glass/Brass
Acceptable
Unacceptable
Evidence
N/A
Radiators
Acceptable
Unacceptable
Evidence
N/A
High Level Surfaces, Ledges Etc
Acceptable
Unacceptable
Evidence
N/A
Low Level Surfaces, Windowsills/Trunking/Extinguishers
Acceptable
Unacceptable
Evidence
N/A
Internal Glass/Mirrors
Acceptable
Unacceptable
Evidence
N/A
White/Chalk boards/TV's
Acceptable
Unacceptable
Evidence
N/A
Desks/Tables/Workstations
Acceptable
Unacceptable
Evidence
N/A
Electrical - Telephone/Fans/Heaters/PCs
Acceptable
Unacceptable
Evidence
N/A
Chairs
Acceptable
Unacceptable
Evidence
N/A
Lockers/Bag Storage
Acceptable
Unacceptable
Evidence
N/A
Waste Recepticals
Acceptable
Unacceptable
Evidence
N/A
Hard Floors
Acceptable
Unacceptable
Evidence
N/A
Soft Floors - Carpet/Mats
Acceptable
Unacceptable
Evidence
N/A
Lighting - Wall/Free Standing
Acceptable
Unacceptable
Evidence
N/A
Water Boiler/Water Dispenser
Acceptable
Unacceptable
Evidence
N/A
Cupboards
Acceptable
Unacceptable
Evidence
N/A
Kitchen Appliances
Acceptable
Unacceptable
Evidence
N/A
Bath/Shower
Acceptable
Unacceptable
Evidence
N/A
Toilet/Urinal
Acceptable
Unacceptable
Evidence
N/A
Sink/Sluice/Kitchen/Basin
Acceptable
Unacceptable
Evidence
N/A
Dispensers
Acceptable
Unacceptable
Evidence
N/A
Cleaning Equipment
Acceptable
Unacceptable
Evidence
N/A
ADT Room
Ceilings/Lights
Acceptable
Unacceptable
Evidence
N/A
Walls/Skirting
Acceptable
Unacceptable
Evidence
N/A
Wall Fixtures
Acceptable
Unacceptable
Evidence
N/A
Ventilation Grills
Acceptable
Unacceptable
Evidence
N/A
Window Curtains/Blinds/Screens
Acceptable
Unacceptable
Evidence
N/A
Doors/Handles/Glass/Brass
Acceptable
Unacceptable
Evidence
N/A
Radiators
Acceptable
Unacceptable
Evidence
N/A
High Level Surfaces, Ledges Etc
Acceptable
Unacceptable
Evidence
N/A
Low Level Surfaces, Windowsills/Trunking/Extinguishers
Acceptable
Unacceptable
Evidence
N/A
Internal Glass/Mirrors
Acceptable
Unacceptable
Evidence
N/A
White/Chalk boards/TV's
Acceptable
Unacceptable
Evidence
N/A
Desks/Tables/Workstations
Acceptable
Unacceptable
Evidence
N/A
Electrical - Telephone/Fans/Heaters/PCs
Acceptable
Unacceptable
Evidence
N/A
Chairs
Acceptable
Unacceptable
Evidence
N/A
Lockers/Bag Storage
Acceptable
Unacceptable
Evidence
N/A
Waste Recepticals
Acceptable
Unacceptable
Evidence
N/A
Hard Floors
Acceptable
Unacceptable
Evidence
N/A
Soft Floors - Carpet/Mats
Acceptable
Unacceptable
Evidence
N/A
Lighting - Wall/Free Standing
Acceptable
Unacceptable
Evidence
N/A
Water Boiler/Water Dispenser
Acceptable
Unacceptable
Evidence
N/A
Cupboards
Acceptable
Unacceptable
Evidence
N/A
Kitchen Appliances
Acceptable
Unacceptable
Evidence
N/A
Bath/Shower
Acceptable
Unacceptable
Evidence
N/A
Toilet/Urinal
Acceptable
Unacceptable
Evidence
N/A
Sink/Sluice/Kitchen/Basin
Acceptable
Unacceptable
Evidence
N/A
Dispensers
Acceptable
Unacceptable
Evidence
N/A
Cleaning Equipment
Acceptable
Unacceptable
Evidence
N/A
Corridor and Stairs
Ceilings/Lights
Acceptable
Unacceptable
Evidence
N/A
Walls/Skirting
Acceptable
Unacceptable
Evidence
N/A
Wall Fixtures
Acceptable
Unacceptable
Evidence
N/A
Ventilation Grills
Acceptable
Unacceptable
Evidence
N/A
Window Curtains/Blinds/Screens
Acceptable
Unacceptable
Evidence
N/A
Doors/Handles/Glass/Brass
Acceptable
Unacceptable
Evidence
N/A
Radiators
Acceptable
Unacceptable
Evidence
N/A
High Level Surfaces, Ledges Etc
Acceptable
Unacceptable
Evidence
N/A
Low Level Surfaces, Windowsills/Trunking/Extinguishers
Acceptable
Unacceptable
Evidence
N/A
Internal Glass/Mirrors
Acceptable
Unacceptable
Evidence
N/A
White/Chalk boards/TV's
Acceptable
Unacceptable
Evidence
N/A
Desks/Tables/Workstations
Acceptable
Unacceptable
Evidence
N/A
Electrical - Telephone/Fans/Heaters/PCs
Acceptable
Unacceptable
Evidence
N/A
Chairs
Acceptable
Unacceptable
Evidence
N/A
Lockers/Bag Storage
Acceptable
Unacceptable
Evidence
N/A
Waste Recepticals
Acceptable
Unacceptable
Evidence
N/A
Hard Floors
Acceptable
Unacceptable
Evidence
N/A
Soft Floors - Carpet/Mats
Acceptable
Unacceptable
Evidence
N/A
Lighting - Wall/Free Standing
Acceptable
Unacceptable
Evidence
N/A
Water Boiler/Water Dispenser
Acceptable
Unacceptable
Evidence
N/A
Cupboards
Acceptable
Unacceptable
Evidence
N/A
Kitchen Appliances
Acceptable
Unacceptable
Evidence
N/A
Bath/Shower
Acceptable
Unacceptable
Evidence
N/A
Toilet/Urinal
Acceptable
Unacceptable
Evidence
N/A
Sink/Sluice/Kitchen/Basin
Acceptable
Unacceptable
Evidence
N/A
Dispensers
Acceptable
Unacceptable
Evidence
N/A
Cleaning Equipment
Acceptable
Unacceptable
Evidence
N/A
6A
Ceilings/Lights
Acceptable
Unacceptable
Evidence
N/A
Walls/Skirting
Acceptable
Unacceptable
Evidence
N/A
Wall Fixtures
Acceptable
Unacceptable
Evidence
N/A
Ventilation Grills
Acceptable
Unacceptable
Evidence
N/A
Window Curtains/Blinds/Screens
Acceptable
Unacceptable
Evidence
N/A
Doors/Handles/Glass/Brass
Acceptable
Unacceptable
Evidence
N/A
Radiators
Acceptable
Unacceptable
Evidence
N/A
High Level Surfaces, Ledges Etc
Acceptable
Unacceptable
Evidence
N/A
Low Level Surfaces, Windowsills/Trunking/Extinguishers
Acceptable
Unacceptable
Evidence
N/A
Internal Glass/Mirrors
Acceptable
Unacceptable
Evidence
N/A
White/Chalk boards/TV's
Acceptable
Unacceptable
Evidence
N/A
Desks/Tables/Workstations
Acceptable
Unacceptable
Evidence
N/A
Electrical - Telephone/Fans/Heaters/PCs
Acceptable
Unacceptable
Evidence
N/A
Chairs
Acceptable
Unacceptable
Evidence
N/A
Lockers/Bag Storage
Acceptable
Unacceptable
Evidence
N/A
Waste Recepticals
Acceptable
Unacceptable
Evidence
N/A
Hard Floors
Acceptable
Unacceptable
Evidence
N/A
Soft Floors - Carpet/Mats
Acceptable
Unacceptable
Evidence
N/A
Lighting - Wall/Free Standing
Acceptable
Unacceptable
Evidence
N/A
Water Boiler/Water Dispenser
Acceptable
Unacceptable
Evidence
N/A
Cupboards
Acceptable
Unacceptable
Evidence
N/A
Kitchen Appliances
Acceptable
Unacceptable
Evidence
N/A
Bath/Shower
Acceptable
Unacceptable
Evidence
N/A
Toilet/Urinal
Acceptable
Unacceptable
Evidence
N/A
Sink/Sluice/Kitchen/Basin
Acceptable
Unacceptable
Evidence
N/A
Dispensers
Acceptable
Unacceptable
Evidence
N/A
Cleaning Equipment
Acceptable
Unacceptable
Evidence
N/A
6B
Ceilings/Lights
Acceptable
Unacceptable
Evidence
N/A
Walls/Skirting
Acceptable
Unacceptable
Evidence
N/A
Wall Fixtures
Acceptable
Unacceptable
Evidence
N/A
Ventilation Grills
Acceptable
Unacceptable
Evidence
N/A
Window Curtains/Blinds/Screens
Acceptable
Unacceptable
Evidence
N/A
Doors/Handles/Glass/Brass
Acceptable
Unacceptable
Evidence
N/A
Radiators
Acceptable
Unacceptable
Evidence
N/A
High Level Surfaces, Ledges Etc
Acceptable
Unacceptable
Evidence
N/A
Low Level Surfaces, Windowsills/Trunking/Extinguishers
Acceptable
Unacceptable
Evidence
N/A
Internal Glass/Mirrors
Acceptable
Unacceptable
Evidence
N/A
White/Chalk boards/TV's
Acceptable
Unacceptable
Evidence
N/A
Desks/Tables/Workstations
Acceptable
Unacceptable
Evidence
N/A
Electrical - Telephone/Fans/Heaters/PCs
Acceptable
Unacceptable
Evidence
N/A
Chairs
Acceptable
Unacceptable
Evidence
N/A
Lockers/Bag Storage
Acceptable
Unacceptable
Evidence
N/A
Waste Recepticals
Acceptable
Unacceptable
Evidence
N/A
Hard Floors
Acceptable
Unacceptable
Evidence
N/A
Soft Floors - Carpet/Mats
Acceptable
Unacceptable
Evidence
N/A
Lighting - Wall/Free Standing
Acceptable
Unacceptable
Evidence
N/A
Water Boiler/Water Dispenser
Acceptable
Unacceptable
Evidence
N/A
Cupboards
Acceptable
Unacceptable
Evidence
N/A
Kitchen Appliances
Acceptable
Unacceptable
Evidence
N/A
Bath/Shower
Acceptable
Unacceptable
Evidence
N/A
Toilet/Urinal
Acceptable
Unacceptable
Evidence
N/A
Sink/Sluice/Kitchen/Basin
Acceptable
Unacceptable
Evidence
N/A
Dispensers
Acceptable
Unacceptable
Evidence
N/A
Cleaning Equipment
Acceptable
Unacceptable
Evidence
N/A
6C
Ceilings/Lights
Acceptable
Unacceptable
Evidence
N/A
Walls/Skirting
Acceptable
Unacceptable
Evidence
N/A
Wall Fixtures
Acceptable
Unacceptable
Evidence
N/A
Ventilation Grills
Acceptable
Unacceptable
Evidence
N/A
Window Curtains/Blinds/Screens
Acceptable
Unacceptable
Evidence
N/A
Doors/Handles/Glass/Brass
Acceptable
Unacceptable
Evidence
N/A
Radiators
Acceptable
Unacceptable
Evidence
N/A
High Level Surfaces, Ledges Etc
Acceptable
Unacceptable
Evidence
N/A
Low Level Surfaces, Windowsills/Trunking/Extinguishers
Acceptable
Unacceptable
Evidence
N/A
Internal Glass/Mirrors
Acceptable
Unacceptable
Evidence
N/A
White/Chalk boards/TV's
Acceptable
Unacceptable
Evidence
N/A
Desks/Tables/Workstations
Acceptable
Unacceptable
Evidence
N/A
Electrical - Telephone/Fans/Heaters/PCs
Acceptable
Unacceptable
Evidence
N/A
Chairs
Acceptable
Unacceptable
Evidence
N/A
Lockers/Bag Storage
Acceptable
Unacceptable
Evidence
N/A
Waste Recepticals
Acceptable
Unacceptable
Evidence
N/A
Hard Floors
Acceptable
Unacceptable
Evidence
N/A
Soft Floors - Carpet/Mats
Acceptable
Unacceptable
Evidence
N/A
Lighting - Wall/Free Standing
Acceptable
Unacceptable
Evidence
N/A
Water Boiler/Water Dispenser
Acceptable
Unacceptable
Evidence
N/A
Cupboards
Acceptable
Unacceptable
Evidence
N/A
Kitchen Appliances
Acceptable
Unacceptable
Evidence
N/A
Bath/Shower
Acceptable
Unacceptable
Evidence
N/A
Toilet/Urinal
Acceptable
Unacceptable
Evidence
N/A
Sink/Sluice/Kitchen/Basin
Acceptable
Unacceptable
Evidence
N/A
Dispensers
Acceptable
Unacceptable
Evidence
N/A
Cleaning Equipment
Acceptable
Unacceptable
Evidence
N/A
5A
Ceilings/Lights
Acceptable
Unacceptable
Evidence
N/A
Walls/Skirting
Acceptable
Unacceptable
Evidence
N/A
Wall Fixtures
Acceptable
Unacceptable
Evidence
N/A
Ventilation Grills
Acceptable
Unacceptable
Evidence
N/A
Window Curtains/Blinds/Screens
Acceptable
Unacceptable
Evidence
N/A
Doors/Handles/Glass/Brass
Acceptable
Unacceptable
Evidence
N/A
Radiators
Acceptable
Unacceptable
Evidence
N/A
High Level Surfaces, Ledges Etc
Acceptable
Unacceptable
Evidence
N/A
Low Level Surfaces, Windowsills/Trunking/Extinguishers
Acceptable
Unacceptable
Evidence
N/A
Internal Glass/Mirrors
Acceptable
Unacceptable
Evidence
N/A
White/Chalk boards/TV's
Acceptable
Unacceptable
Evidence
N/A
Desks/Tables/Workstations
Acceptable
Unacceptable
Evidence
N/A
Electrical - Telephone/Fans/Heaters/PCs
Acceptable
Unacceptable
Evidence
N/A
Chairs
Acceptable
Unacceptable
Evidence
N/A
Lockers/Bag Storage
Acceptable
Unacceptable
Evidence
N/A
Waste Recepticals
Acceptable
Unacceptable
Evidence
N/A
Hard Floors
Acceptable
Unacceptable
Evidence
N/A
Soft Floors - Carpet/Mats
Acceptable
Unacceptable
Evidence
N/A
Lighting - Wall/Free Standing
Acceptable
Unacceptable
Evidence
N/A
Water Boiler/Water Dispenser
Acceptable
Unacceptable
Evidence
N/A
Cupboards
Acceptable
Unacceptable
Evidence
N/A
Kitchen Appliances
Acceptable
Unacceptable
Evidence
N/A
Bath/Shower
Acceptable
Unacceptable
Evidence
N/A
Toilet/Urinal
Acceptable
Unacceptable
Evidence
N/A
Sink/Sluice/Kitchen/Basin
Acceptable
Unacceptable
Evidence
N/A
Dispensers
Acceptable
Unacceptable
Evidence
N/A
Cleaning Equipment
Acceptable
Unacceptable
Evidence
N/A
5B
Ceilings/Lights
Acceptable
Unacceptable
Evidence
N/A
Walls/Skirting
Acceptable
Unacceptable
Evidence
N/A
Wall Fixtures
Acceptable
Unacceptable
Evidence
N/A
Ventilation Grills
Acceptable
Unacceptable
Evidence
N/A
Window Curtains/Blinds/Screens
Acceptable
Unacceptable
Evidence
N/A
Doors/Handles/Glass/Brass
Acceptable
Unacceptable
Evidence
N/A
Radiators
Acceptable
Unacceptable
Evidence
N/A
High Level Surfaces, Ledges Etc
Acceptable
Unacceptable
Evidence
N/A
Low Level Surfaces, Windowsills/Trunking/Extinguishers
Acceptable
Unacceptable
Evidence
N/A
Internal Glass/Mirrors
Acceptable
Unacceptable
Evidence
N/A
White/Chalk boards/TV's
Acceptable
Unacceptable
Evidence
N/A
Desks/Tables/Workstations
Acceptable
Unacceptable
Evidence
N/A
Electrical - Telephone/Fans/Heaters/PCs
Acceptable
Unacceptable
Evidence
N/A
Chairs
Acceptable
Unacceptable
Evidence
N/A
Lockers/Bag Storage
Acceptable
Unacceptable
Evidence
N/A
Waste Recepticals
Acceptable
Unacceptable
Evidence
N/A
Hard Floors
Acceptable
Unacceptable
Evidence
N/A
Soft Floors - Carpet/Mats
Acceptable
Unacceptable
Evidence
N/A
Lighting - Wall/Free Standing
Acceptable
Unacceptable
Evidence
N/A
Water Boiler/Water Dispenser
Acceptable
Unacceptable
Evidence
N/A
Cupboards
Acceptable
Unacceptable
Evidence
N/A
Kitchen Appliances
Acceptable
Unacceptable
Evidence
N/A
Bath/Shower
Acceptable
Unacceptable
Evidence
N/A
Toilet/Urinal
Acceptable
Unacceptable
Evidence
N/A
Sink/Sluice/Kitchen/Basin
Acceptable
Unacceptable
Evidence
N/A
Dispensers
Acceptable
Unacceptable
Evidence
N/A
Cleaning Equipment
Acceptable
Unacceptable
Evidence
N/A
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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.