Staff Area's Monthly Inspection Check

Date Completed On

Month Completed In

Workplace
Toilets & Changing Rooms Used By Staff

General Decor (Condition)

Who needs to complete the actions

Walls & Floors

Who needs to complete the actions

Lighting

Who needs to complete the actions

Heating & Ventilation

Who needs to complete the actions

Sanitary Units

Who needs to complete the actions

Cubicle Condition

Who needs to complete the actions

Cubicle Locks

Who needs to complete the actions

Toilets / Urinals

Who needs to complete the actions

Hand Dryers

Who needs to complete the actions

Hot Water Supply

Who needs to complete the actions

Soap Dispenser

Who needs to complete the actions

Drinking Water / Hygiene

Who needs to complete the actions

Signs

Who needs to complete the actions

Nail Brushes

Who needs to complete the actions

Staff Only Areas

Lockers / Rails

Who needs to complete the actions

General Decor

Who needs to complete the actions

Carpet

Who needs to complete the actions

Furniture

Who needs to complete the actions

Lighting

Who needs to complete the actions

Equipment Storage Areas

Who needs to complete the actions

Metal Bin

Who needs to complete the actions

Plant Rooms

Who needs to complete the actions

Who needs to complete the actions

GM Name & Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.