Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • YES means item is excellent or acceptable. NO means item is unacceptable. If NO is selected photos and comments MUST be provided. A total of 1 point per line item that is granted a YES. Points are to be tallied and entered at the end of the report

Corrective Action Review

  • Review the previous inspection report and answer the following questions. Note: if a corrective action task has NOT been completed by the review date a CORRECTIVE ACTION REPORT must be completed along with this report.

  • Have all items requiring corrective action been completed by the specified due date on the previous inspection report? If the answer is NO enter a brief description of what has not been completed. Once this report has been finalised proceed to create a Corrective action report.

Car parks

  • Free from litter

  • Free from debris

  • Trolley bays clean and presentable

Gardens

  • Free from litter

  • Free from debris

  • Clean and presentable

External walkways

  • Path ways clean and presentable

  • Free from debris

  • Free from litter

Loading Bay Area

  • Free from litter

  • Clean and presentable

Refuse area

  • Free from litter

  • Clean and presentable

Entrances

  • Entrance doors clean and presentable

  • Glass spot cleaned where applicable

  • Frames and skirtings free of dust

  • Railings clean and presentable

Height accessible areas

  • Lights free from cob webs

  • Signage free from cobwebs

  • Awnings free from cobwebs

Internal walkways

  • Floors clean and presentable

  • Corners, edgings and skirtings free from dust

Toilets

  • Frames and skirtings clean and free from dust

  • Cisterns clean and presentable

  • Urinals clean and presentable

  • Hand basins, sinks, taps clean and presentable

  • Glass and mirrors clean and presentable

Lifts

  • Lifts free of fingerprints and dust

  • External lift polished, clean and presentable

  • Internal lift polished, clean and presentable

Travelators

  • Glass clean and presentable

  • Hand railing clean and presentable

  • Conveyor floor clean and presentable

Fire hose cupboards and Panels

  • Free from dust and fingerprints

  • Clean and presentable

Corrective Action

  • Review the items that require corrective action and briefly list here

  • Name the staff remember who is responsible for to carry out this corrective action. If multiple people are included itemise the specific task relating to each person requiring corrective action

  • Enter a date when all items requiring corrective action must be completed by

  • Enter a date when an inspection will be carried out to confirm whether or not the items requiring corrective action have been completed

Review and conclusion

  • Do you have any notable comments

Additional site item review & recommendations

  • Item 1

  • Details

  • Add media

  • Risk Rating

  • Details of risk rating

  • Recommendation

  • Item 2

  • Details

  • Add media

  • Risk Rating

  • Details of risk rating

  • Recommendation

  • Item 3

  • Details

  • Add media

  • Risk Rating

  • Details of risk rating

  • Recommendation

  • Item 4

  • Details

  • Add media

  • Risk Rating

  • Details of risk rating

  • Recommendation

  • Item 5

  • Details

  • Add media

  • Risk Rating

  • Details of risk rating

  • Recommendation

Signatory

  • I hereby acknowledge this report to be a fair and accurate reflection of the inspected site.

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.