Title Page
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Conducted on
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State date and time checked
These checks are to be completed on a monthly basis to ensure the below workplace areas are satisfactory. If there is any non conforming items a picture must be taken at the end of this report, and then logged in the Corrective Action Log located within the Shared Drive.
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What site are you at?
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What is at site?
- Toilets and changing used by staff
- Staff area
Toilets & changing rooms used by staff
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Note down any issues in the space provided below, log on the corrective action log and take a picture using the media tool below if applicable.
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General Decor
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Walls/Floor
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Lighting
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Heating/Ventilation
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Sanitary units
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Cubicle condition
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Cubicle locks
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Toilets/Urinals
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Hand dryers
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Hot water supply
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Soap Dispenser
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Drinking water/hygiene
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Signs
STAFF ONLY AREAS
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Note down any issues in the space provided below, log on the corrective action log and take a picture using the media tool below if applicable.
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Lockers/Rail
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General Decor
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Carpet
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Furniture
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Lighting
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Equipment storage areas
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Bins
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Plant rooms
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DM completion signature
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GM Sign off