Title Page

  • Date of Audit

  • Name of Auditor


  • Pressure cushion identifier

  • Is there a breach in the integrity of the cushion cover, e.g. torn or damaged?

  • Is the cushion cover fastening compromised, e.g. is the zip or any other cover fastening device broken?

  • Does the cushion cover have any staining outside or inside that cleaning cannot remove?

  • Undo the removable cover, is the cushion wet, soiled or stained on either side? - (not applicable to sealed cushion covers without a zip).

  • Does the cushion have an offensive odour?

  • Has the cushion passed or failed the inspection?

  • Signature of auditor

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.