Introduction

  • Client / Site

  • Location
  • Prepared by

  • Conducted on

  • Document No.

Buildings

    Buildings
  • Name:

  • Site location/orientation:

  • Use:

Entrance/Foyer/Reception

  • Is the glass clean?

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  • Are the floors clean?

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  • Are the walls free from marks/damage?

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  • Are the allocated surfaces dust free?

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  • Have the allocated surfaces been wiped over?

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  • Have the bins been emptied?

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Lifts

  • Are the external surfaces clean?

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  • Are the internal surfaces clean?

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  • Are the door tracks clean?

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Common/work areas

  • Is the glass clean?

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  • Are the floors clean?

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  • Are the walls free from marks/damage?

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  • Are the doors free from marks/damage?

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  • Are the allocated surfaces dust free?

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  • Have the allocated surfaces been wiped over?

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  • Have the bins been emptied?

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  • Are the refuse areas clean? / Has the smell been controlled?

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Washroom amenities

  • Are the push/kick plates clean?

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  • Are the doors free from marks/damage?

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  • Are the door jambs free from dust/grime?

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  • Are the tiled floors clean?

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  • Is the grout clean?

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  • Are the walls free from marks/damage?

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  • Are the sink waste surrounds clean?

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  • Are the mirrors clean?

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  • Are the urinals clean?

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  • Are the toilets clean?

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  • Have the stainless surfaces been finished correctly?

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  • Are the allocated surfaces dust free?

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  • Have the allocated surfaces been wiped over?

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  • Have the bins been emptied?

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  • Have the consumable stock items been replenished?

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  • Have the shower facilities been cleaned?

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Kitchens

  • Are the doors free from marks/damage?

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  • Are the floors clean?

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  • Are the walls free from marks/damage?

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  • Are the allocated surfaces dust free?

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  • Have the allocated surfaces been wiped over?

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  • Are the sinks clean?

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  • Are the sink waste surrounds clean?

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  • Have the stainless surfaces been finished correctly?

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  • Have the bins been emptied?

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  • Have the consumable stock items been replenished?

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External areas

  • Are the recreational/cooking areas clean & tidy?

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  • Have the concrete areas/pathways been blown/swept off?

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  • Are the areas free from litter/rubbish?

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Refuse areas

  • Is the area/room in a clean & tidy state?

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  • Has the smell been controlled?

Parking facilities

    Parking Facilities
  • Name:

  • Location:

  • Use:

Car park areas

  • Are the floors clean?

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  • Are the walls free from marks/damage?

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  • Are the allocated surfaces dust free?

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  • Have the allocated surfaces been wiped over?

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  • Are spills being attended to?

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  • Are the areas free from litter/rubbish?

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In house items

Storage areas

  • Are the areas clean and tidy?

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  • Are the chemicals being stored correctly?

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  • Are the chemicals labelled correctly on both refill and in use container?

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  • Is there a chemical present for reactive spot cleaning present?

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  • Is the MSDS folder present and in use?

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  • Is there sufficient PPE items for each staff member and for each task?

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  • Is the equipment being stored/charged correctly?

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  • Is the equipment in clean working order?

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  • Is the equipment tag compliant?

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  • Are the cleaning carts clean and stocked correctly?

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  • Are safety signs present and in use for mopping etc?

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Staff details

  • Are the staff members wearing clean/presentable uniforms?

  • Do staff members have adequate uniform items?

  • Are the staff members aware of MSDS folder location and use?

  • Are the staff members using communications book?

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Additional notes

    Additional items
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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.