Title Page

  • Conducted on

  • Prepared by

  • Location
  • Completion Guidelines: - Rating: Yes = checked & condition acceptable, No = checked & condition unacceptable, NA = Not Applicable

Building/s

  • Building structure in good condition?

  • Building fixtures & fittings in good condition?

  • Emergency exit signs

  • Are designated exit doors accessible?

Floor coverings – Common areas

  • Wet floor signs?

1.5. Stairways

  • Condition of covering / surface

  • Banisters & handrails stable?

  • Stairways free of obstructions?

  • Perform visual check for obvious damage to roof, walls & windows

  • Perform visual check for damage, faults & to ensure illuminated

  • Perform visual check for damage, faults & operating

  • Perform visual check to ensure no obstructions

  • Check to ensure doors closing correctly

  • Check to ensure mats are properly fitted, presenting no trip hazard

  • Perform visual check to ensure in good condition

  • Check to ensure signs are used by cleaners

Common External Walk Areas

  • Surface free of slip & trip hazards?

  • External lighting

  • Balustrades, railings, chains

  • Perform visual check for loose pavers, missing materials left lying around, trip hazards

Common Facilities

  • Public seating in good condition?

  • Plants & pots

  • Rubbish bins / ash trays

3.1. Amenities (Toilets)

  • Floors clean, dry & undamaged?

  • Toilet bowls, seats & cistern undamaged?

  • Hand basin clean & undamaged?

  • Lights

  • Doors

  • Syringe use evident?

  • Check to ensure door locks operating & door closing correctly

Car Park

  • Guideline

  • Car park drainage

  • Surface condition

  • Lighting

  • Wheel blocks / stops / trolley bays

  • Line marking: parking bays, speed humps & signs

  • Car park grates

  • Landscaping

  • Perform visual check for pot holes or uneven surfaces

  • Perform visual check for damage, faults & if operating

  • Perform visual check for damage & if securely fixed with no bolts protruding

Fire Services

  • Are escapes clear?

  • Fire alarm panel / sprinklers / smoke thermal detectors

Essential services

  • Occupancy permit

  • Evacuation plan

  • Perform visual check to ensure no obstructions

  • Perform visual check to ensure all is in order

  • Check and confirm log books & servicing dates accord with occupancy permit

  • Perform visual check to confirm it is in view of public within building

Building Services

  • CCTV

  • Air conditioning plant / cooling tower

  • Time clocks / photosensitive cells

  • Electrical switchboards / substations

  • Telecommunications

  • Thermographic scan

  • Asbestos register

  • Check & confirm cameras & recording system are operating efficiently

  • Check that log books & servicing dates accurately recorded

  • Check rooms are secure & clear of any obstruction, and all circuits appear to be operating correctly

  • Check rooms are secure and clear of any obstruction

  • Confirm annual scan is available for inspection

  • Confirm register is available for inspection

Cleaning / Security

  • Log books / attendance

  • Cleaning inspection report

  • General Comments/Other Hazards

  • Check & confirm correctly completed, & note any comments for action

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.