Title Page

  • Document Number

  • Site

  • Location
  • Conducted on

  • Prepared by

  • Personnel

Cleaners

  • Cleaners Name

  • Cleaner Dressed Correctly

  • Police Check Current

Cleaners

  • Cleaners Name

  • Cleaner Dressed Correctly

  • Police Check Current

Level 10

Foyer

  • Foyer

  • Hard Floor/ Carpet

  • Corner & Edges

  • Stairs

  • Exits and Fire Stairs

  • Lifts

  • Windows

  • Doors

  • Walls

  • Electrical Fittings (Light Switches/Power Points)

  • Kitchen

Toilet

  • Benches & Vanities

  • Toilet Bowls

  • Urinals

  • Rubbish Bins

  • Surfaces (Including Tops of Cubicles)

  • Mirrors

  • Hand Basins

  • Stainless Steel Fittings

  • Floor Drains

  • Hand Dryers and Dispensers

  • Light Switches

  • Cubicles

  • Doors and Kick Plates

  • Toilet Requites Supply Level

  • Vents

Level 9

Foyer

  • Foyer

  • Hard Floor/ Carpet

  • Corner & Edges

  • Stairs

  • Exits and Fire Stairs

  • Lifts

  • Windows

  • Doors

  • Walls

  • Electrical Fittings (Light Switches/Power Points)

  • Kitchen

Toilet (Female)

  • Benches & Vanities

  • Toilet Bowls

  • Rubbish Bins

  • Surfaces (Including Tops of Cubicles)

  • Mirrors

  • Hand Basins

  • Stainless Steel Fittings

  • Floor Drains

  • Hand Dryers and Dispensers

  • Light Switches

  • Cubicles

  • Doors and Kick Plates

  • Toilet Requites Supply Level

  • Vents

Level 8

Foyer

  • Foyer

  • Hard Floor/ Carpet

  • Corner & Edges

  • Stairs

  • Lifts

  • Exits and Fire Stairs

  • Windows

  • Doors

  • Walls

  • Electrical Fittings (Light Switches/Power Points)

  • Kitchen

Toilet

  • Benches & Vanities

  • Toilet Bowls

  • Urinals

  • Rubbish Bins

  • Surfaces (Including Tops of Cubicles)

  • Mirrors

  • Hand Basins

  • Stainless Steel Fittings

  • Floor Drains

  • Hand Dryers and Dispensers

  • Light Switches

  • Cubicles

  • Doors and Kick Plates

  • Toilet Requites Supply Level

  • Vents

Level 7

Foyer

  • Foyer

  • Hard Floor/ Carpet

  • Corner & Edges

  • Stairs

  • Exits and Fire Stairs

  • Lifts

  • Windows

  • Doors

  • Walls

  • Electrical Fittings (Light Switches/Power Points)

  • Kitchen

Toilet (Female)

  • Benches & Vanities

  • Toilet Bowls

  • Rubbish Bins

  • Surfaces (Including Tops of Cubicles)

  • Mirrors

  • Hand Basins

  • Stainless Steel Fittings

  • Floor Drains

  • Hand Dryers and Dispensers

  • Light Switches

  • Cubicles

  • Doors and Kick Plates

  • Toilet Requites Supply Level

  • Vents

Level 6

Foyer

  • Foyer

  • Hard Floor/ Carpet

  • Corner & Edges

  • Stairs

  • Exits and Fire Stairs

  • Lifts

  • Windows

  • Doors

  • Walls

  • Electrical Fittings (Light Switches/Power Points)

  • Kitchen

Toilet

  • Benches & Vanities

  • Toilet Bowls

  • Urinals

  • Rubbish Bins

  • Surfaces (Including Tops of Cubicles)

  • Mirrors

  • Hand Basins

  • Stainless Steel Fittings

  • Floor Drains

  • Hand Dryers and Dispensers

  • Light Switches

  • Cubicles

  • Doors and Kick Plates

  • Toilet Requites Supply Level

  • Vents

Level 5

Foyer

  • Foyer

  • Hard Floor/ Carpet

  • Corner & Edges

  • Stairs

  • Exits and Fire Stairs

  • Lifts

  • Windows

  • Doors

  • Walls

  • Electrical Fittings (Light Switches/Power Points)

  • Kitchen

Toilet (Female)

  • Benches & Vanities

  • Toilet Bowls

  • Rubbish Bins

  • Surfaces (Including Tops of Cubicles)

  • Mirrors

  • Hand Basins

  • Stainless Steel Fittings

  • Floor Drains

  • Hand Dryers and Dispensers

  • Light Switches

  • Cubicles

  • Doors and Kick Plates

  • Toilet Requites Supply Level

  • Vents

Level 4

Foyer

  • Foyer

  • Hard Floor/ Carpet

  • Corner & Edges

  • Stairs

  • Exits and Fire Stairs

  • Lifts

  • Windows

  • Doors

  • Walls

  • Electrical Fittings (Light Switches/Power Points)

  • Kitchen

Toilet

  • Benches & Vanities

  • Toilet Bowls

  • Urinals

  • Rubbish Bins

  • Surfaces (Including Tops of Cubicles)

  • Mirrors

  • Hand Basins

  • Stainless Steel Fittings

  • Floor Drains

  • Hand Dryers and Dispensers

  • Light Switches

  • Cubicles

  • Doors and Kick Plates

  • Toilet Requites Supply Level

  • Vents

Level 3

Foyer

  • Foyer

  • Hard Floor/ Carpet

  • Corner & Edges

  • Stairs

  • Exits and Fire Stairs

  • Lifts

  • Windows

  • Doors

  • Walls

  • Electrical Fittings (Light Switches/Power Points)

  • Kitchen

Toilet (Female)

  • Benches & Vanities

  • Toilet Bowls

  • Rubbish Bins

  • Surfaces (Including Tops of Cubicles)

  • Mirrors

  • Hand Basins

  • Stainless Steel Fittings

  • Floor Drains

  • Hand Dryers and Dispensers

  • Light Switches

  • Cubicles

  • Doors and Kick Plates

  • Toilet Requites Supply Level

  • Vents

Level 2

Foyer

  • Foyer

  • Hard Floor/ Carpet

  • Corner & Edges

  • Stairs

  • Exits and Fire Stairs

  • Lifts

  • Windows

  • Doors

  • Walls

  • Electrical Fittings (Light Switches/Power Points)

  • Kitchen

Toilet

  • Benches & Vanities

  • Toilet Bowls

  • Urinals

  • Rubbish Bins

  • Surfaces (Including Tops of Cubicles)

  • Mirrors

  • Hand Basins

  • Stainless Steel Fittings

  • Floor Drains

  • Hand Dryers and Dispensers

  • Light Switches

  • Cubicles

  • Doors and Kick Plates

  • Toilet Requites Supply Level

  • Vents

Level 1

Foyer

  • Foyer

  • Hard Floor/ Carpet

  • Corner & Edges

  • Stairs

  • Exits and Fire Stairs

  • Lifts

  • Windows

  • Doors

  • Walls

  • Electrical Fittings (Light Switches/Power Points)

  • Kitchen

Toilet (Female)

  • Benches & Vanities

  • Toilet Bowls

  • Rubbish Bins

  • Surfaces (Including Tops of Cubicles)

  • Mirrors

  • Hand Basins

  • Stainless Steel Fittings

  • Floor Drains

  • Hand Dryers and Dispensers

  • Light Switches

  • Cubicles

  • Doors and Kick Plates

  • Toilet Requites Supply Level

  • Vents

Ground

Foyer

  • Foyer

  • Hard Floor/ Carpet

  • Corners and Edges

  • Stairs

  • Exits and Fire Stairs

  • Lifts

  • Windows

  • Doors

  • Walls

  • Electrical Fitting (Light Switches/Power Points)

Toilet

  • Benches & Vanities

  • Toilet Bowls

  • Urinal

  • Rubbish Bins

  • Surfaces (Including Tops of Cubicles)

  • Mirrors

  • Hand Basins

  • Stainless Steel Fittings

  • Floor Drains

  • Hand Dryers and Dispensers

  • Light Switches

  • Cubicles

  • Doors and Kick Plates

  • External Glass

  • Toilet Requites Supply Level

  • Vents

Toilet (Disabled)

  • Benches & Vanities

  • Toilet Bowls

  • Rubbish Bins

  • Surfaces (Including Tops of Cubicles)

  • Mirrors

  • Hand Basins

  • Stainless Steel Fittings

  • Floor Drains

  • Hand Dryers and Dispensers

  • Light Switches

  • Cubicles

  • Doors and Kick Plates

  • External Glass

  • Toilet Requites Supply Level

  • Vents

Basement

Toilet

  • Benches & Vanities

  • Toilet Bowls

  • Rubbish Bins

  • Surfaces

  • Mirrors

  • Hand Basins

  • Stainless Steel Fittings

  • Floor Drains

  • Hand Dryers and Dispensers

  • Light Switches

  • Doors and Kick Plates

  • Toilet Requites Supply Level

  • Vents

Shower Area

  • Benches & Vanities

  • Rubbish Bins

  • Surfaces

  • Mirrors

  • Hand Basins

  • Stainless Steel Fittings Including Shower Heads

  • Floor Drains

  • Light Switches

  • Doors and Kick Plates

  • Vents

Building Exterior

  • External Glass

  • Entries and Exits

  • Balustrades/Hand Rails/Awnings

  • Wall & Column Surfaces

  • External Bins Area

  • Seating

  • Cobwebs

  • Graffitti

  • Signage And Directory Boards

  • Overall Appearance

  • Basement Carpark

Cleaners Room

  • Overall Appearance

  • Light/Electrical Switches

  • Machinery Clean and well maintained

  • Chemicals well maintained

  • Safety Data Sheets all current

  • Site Manual correct and Current

  • Communication Book Current

  • Test and Tag of Equipment Current

  • Work Method Statement Available

Inspection Sign Off

  • Auditors 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.