Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Action plans

  • Has previous identified actions been submitted and closed out

Safety

  • No smoking sticker present?

  • Evacuation plan and procedure installed and current?

  • Sanitary bags provided in female rooms?

  • No evidence of smoking. Any damage has been reported to supervisor?

Safety comments

Linen and supplies

  • Bed has been well made with bath mat supplied?

  • Bed has mattress protector/linen in good condition. Doona and/or Doona covers changed as required?

  • Toilet paper/paper towelling has been refilled with spares available?

Linen and supply comments

Cleaning

  • Air conditioner vent area's cleaned?

  • Air conditioner filter has been cleaned?

  • All floor area has been swept, moped and scrubbed where necessary?

  • Wipe exterior of fridge and bench tops?

  • Ensure all walls, ceiling and light fixtures are clean and free from marks as required?

  • Wipe all surfaces including window ledges, tops of cupboards and shelving?

  • Remove cobwebs and mould marks on walls, ceilings and tiles?

  • Hand basins and mirrors are disinfected, wiped clean and maintained to a high standard of cleanliness, in a stain free and polished condition. Glass and holders are in good condition, replaced where necessary?

  • Toilet has been cleaned well, including S bend and seat?

  • Shower recess floor and walls, shower taps, fitting and soap holders are cleaned with disinfectants and wiped dry ensuring all stains are removed with surfaces finished to a good condition?

  • Shower curtain changed as required?

  • Ensure all breezeways/balcony/hallways/rubbish collection points and pathways are clean, maintained and free from debris?

  • Rubbish bin has been emptied, bin liner replaced?

  • Air freshener has been used?

  • Has back of door sign off sheet been completed correctly

  • External ashtrays emptied as required?

Cleaning Comments

Fittings/Furnishings

  • Bins,chairs and cupboards are in good condition?

  • Lights are all working?

  • Light switches/door handles and cupboards are clean?

  • Exhaust fan working, free of grime build up?

  • TV and Air Conditioner remotes located?

Fittings/Furnishings Comments

Other / Overall Comments

Sign off

  • ESS representative

  • Bechtel 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.