Information
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Document No.
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Audit Title
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Conducted on
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Prepared by
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Location
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Personnel
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Site Name and Number
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Joint Inspection
Public Amenities
Matrix - 1 = Not Cleaned, 2 = Poorly Cleaned, 3 = Acceptable, 4 = Good, 5 = Exceeds Expectations
External
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Are the entrances clean and free of litter?
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Is the external concrete paths and hard stand areas clean and clear of leaves?
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Additional Information or comments
Internal
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Are the walls, cubicle doors and handles free from dirt, dust, marks, stains and cobwebs?
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Are the hand basins clean?
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Are the floors clean?
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Are toilet roll dispensers cleaned and stocked?
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Additional Information or comments
Toilets / Urinals (Male and Female)
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Is the urinal clean and free from odours?
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Are the toilet bowls, seats and lids clean and free from odours?
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Are the toilet surfaces and fittings free from any evidence of bodily waste?
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Are floors free from any puddling?
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Additional Information or comments
Showers
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Are the showers, floors, surfaces and fittings clean?
Building Maintenance
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Add media
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Additional Information or comments
Conculsion
CONCLUSION
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Inspection Period?
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Sketch or write additional information if required
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Additional comments or information
Please sign off the report to complete the inspection
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Townsville City Council representative signature
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Service Provider signature (only on joint inspections)
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Date and Time of Audit