Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Technician being audited

Arrival on site

  • Did the service person park in a safe location on or near the customers site?

  • Did the service person review their PDA or run sheet to assess what was being serviced?

Preparation for service

  • Was the trolley safely removed from the vehicle?

  • Was the trolley checked to see if it was visually clean ready for use?

  • Was the trolley loaded correctly with the consumables needed to conduct the service?

Performing the service

  • Was the route to the washroom navigated in a controlled and site friendly way?

  • Did the colleague knock on the door of the washroom/cubicle and wait before entering?

  • Was the audit conducted within four (4) hours of the service being completed by the Service Technician?

  • Was the the trolley correctly positioned while the OSS took place?

  • Was the FHU visually inspected before touching?

  • Were gloved hands sanitised before touching the FHU?

  • Was the FHU sprayed with sanitiser in the correct order (exterior of the unit and inside the lid flap)?

  • Was the lid of the FHU correctly placed during the OSS?

  • Was the waste and bin liner bag correctly tipped into the trolley, was the bag lifted up using only the T handle while held away from the service person?

  • Was the bin liner bag correctly installed inside the FHU base to ensure that the waste drops to the bottom and the bag cannot be sen with the lid on?

  • Were the surfaces of the lid checked and cleaned before fitting back on the FHU base?

  • Were the surfaces of the FHU wipes in the correct order?

  • Was the lid placed back on the FHU correctly?

  • Was the FHU left in the correct position?

Services on site

  • Soap dispensers all schedule units all filled and operating correctly.

  • Treatments All scheduled treatment on site completed

  • Urinal treatment completed as per service handbook

  • Airfreshner all schedule units on site serviced and completed

  • Sharp units all schedule units serviced as per handbook

  • Nappy serviced unit on site changed over

  • Auto lids on site activated and working correctly

  • Have the gloves been taken off before leaving the washroom?

Leaving site

  • Was all waste taken away from site?

  • Was the site left in a clean and tidy manner?

  • Was the customer effectively communicated with?

  • Was the PDA/run sheet signed by the customer, or was the site barcode scanned?

Safe working

  • Is the service persons vehicle clean and presentable?

  • Is all equipment stored correctly within the vehicle (nothing stored in the drivers cabin)?

  • Was the service person able to locate their first aid kit?

  • Was the service person able to locate their spill kit?

  • Was all PPE clean and stored correctly?

  • Did the service person understand how to use all PPE?

Finish

  • Please rate the level of service between 1 to 10 with 1 being poor and 10 exceeding expectations.

  • Enter agreed actions in point form based on audit findings

  • Service technician has reviewed audit with auditor and signs as confirmation.

  • Confirmation signature from Auditor

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