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

  • Clean and presentable

Gardens

  • Clean and presentable

External walkways

  • Clean and presentable

External walls

  • Clean and presentable

Loading Bay Area

  • Clean and presentable

Refuse areas

  • Clean and presentable

Entrances

  • Clean and presentable

Height accessible areas

  • Clean and presentable

Internal walkways

  • Clean and presentable

Internal walls

  • Clean and presentable

Toilets

  • Clean and presentable

Lifts

  • Clean and presentable

Travelators

  • Clean and presentable

Fire hose cupboards and Panels

  • 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.