Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Action plans
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Has previous identified actions been submitted and closed out
Safety
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No smoking sticker present?
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Evacuation plan and procedure installed and current?
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Sanitary bags provided in female rooms?
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No evidence of smoking. Any damage has been reported to supervisor?
Safety comments
Linen and supplies
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Bed has been well made with bath mat supplied?
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Bed has mattress protector/linen in good condition. Doona and/or Doona covers changed as required?
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Toilet paper/paper towelling has been refilled with spares available?
Linen and supply comments
Cleaning
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Air conditioner vent area's cleaned?
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Air conditioner filter has been cleaned?
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All floor area has been swept, moped and scrubbed where necessary?
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Wipe exterior of fridge and bench tops?
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Ensure all walls, ceiling and light fixtures are clean and free from marks as required?
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Wipe all surfaces including window ledges, tops of cupboards and shelving?
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Remove cobwebs and mould marks on walls, ceilings and tiles?
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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?
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Toilet has been cleaned well, including S bend and seat?
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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?
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Shower curtain changed as required?
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Ensure all breezeways/balcony/hallways/rubbish collection points and pathways are clean, maintained and free from debris?
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Rubbish bin has been emptied, bin liner replaced?
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Air freshener has been used?
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Has back of door sign off sheet been completed correctly
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External ashtrays emptied as required?
Cleaning Comments
Fittings/Furnishings
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Bins,chairs and cupboards are in good condition?
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Lights are all working?
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Light switches/door handles and cupboards are clean?
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Exhaust fan working, free of grime build up?
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TV and Air Conditioner remotes located?
Fittings/Furnishings Comments
Other / Overall Comments
Sign off
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ESS representative
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Bechtel representative