Sample - MOD CHECK LIST

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Outside Premesis

• Car Park

  Yes

  No

  N/A

• Staff Car Park

  Yes

  No

  N/A

• Nursery Area (behind GYM)

  Yes

  No

  N/A

• Ample Security on duty?

  Yes

  No

  N/A

• Outside parking area

  Yes

  No

  N/A

• Staff Entrance

  Yes

  No

  N/A

• Receiving Bay

  Yes

  No

  N/A

• Garbage Room

  Yes

  No

  N/A

Public area / Lobby

• Ground Floor Lobby

  Yes

  No

  N/A

• Public Restrooms (Lobby and Adrenaline)

  Yes

  No

  N/A

• Public Restroom (Banquet)

  Yes

  No

  N/A

FNB Outlets

• Brasserie

  Yes

  No

  N/A

• Cafe Cappuccino

  Yes

  No

  N/A

• Adrenaline Bar

  Yes

  No

  N/A

• BlueBar

  Yes

  No

  N/A

• Office Bar

  Yes

  No

  N/A

Banquets

• Jupiter

  Yes

  No

  N/A

• Uranus

  Yes

  No

  N/A

• Neptune

  Yes

  No

  N/A

• Pluto

  Yes

  No

  N/A

• Saturn

  Yes

  No

  N/A

SPA / GYM / Health Club

• GYM

  Yes

  No

  N/A

• SPA

  Yes

  No

  N/A

• Relaxation Rooms & Treatment Rooms

  Yes

  No

  N/A

• Swimming Pool

  Yes

  No

  N/A

• Pool Restrooms

  Yes

  No

  N/A

• Barbershop/Beauty Salon

  Yes

  No

  N/A

Kitchen and Stewarding

• Brasserie Kitchen

  Yes

  No

  N/A

• Cafe Cappuccino Kitchen

  Yes

  No

  N/A

• Main Stewarding Area

  Yes

  No

  N/A

Locker Rooms

• Male

  Yes

  No

  N/A

• Female

  Yes

  No

  N/A

Guest Rooms

• 8th Floor

  Yes

  No

  N/A

• 7th Floor

  Yes

  No

  N/A

• 6th Floor

  Yes

  No

  N/A

• 5th Floor

  Yes

  No

  N/A

• 4th Floor

  Yes

  No

  N/A

• 3rd Floor

  Yes

  No

  N/A

• 2nd Floor

  Yes

  No

  N/A

• 1st Floor

  Yes

  No

  N/A

Back of the house - Admin office

• Laundry

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

• Engineering

  Yes

  No

  N/A

• Back of the house corridor

  Yes

  No

  N/A

• Admin Offices -2nd Floor

  Yes

  No

  N/A

Comments & Observations

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

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