Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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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
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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.
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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
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Clean and presentable
Gardens
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Clean and presentable
External walkways
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Clean and presentable
External walls
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Clean and presentable
Loading Bay Area
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Clean and presentable
Refuse areas
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Clean and presentable
Entrances
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Clean and presentable
Height accessible areas
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Clean and presentable
Internal walkways
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Clean and presentable
Internal walls
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Clean and presentable
Toilets
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Clean and presentable
Lifts
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Clean and presentable
Travelators
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Clean and presentable
Fire hose cupboards and Panels
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Clean and presentable
Corrective Action
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Review the items that require corrective action and briefly list here
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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
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Enter a date when all items requiring corrective action must be completed by
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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
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Do you have any notable comments
Additional site item review & recommendations
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Item 1
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Details
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Add media
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Risk Rating
- Low
- Medium
- High
- None
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Details of risk rating
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Recommendation
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Item 2
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Details
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Add media
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Risk Rating
- Low
- Medium
- High
- None
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Details of risk rating
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Recommendation
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Item 3
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Details
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Add media
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Risk Rating
- Low
- Medium
- High
- None
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Details of risk rating
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Recommendation
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Item 4
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Details
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Add media
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Risk Rating
- Low
- Medium
- High
- None
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Details of risk rating
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Recommendation
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Item 5
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Details
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Add media
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Risk Rating
- Low
- Medium
- High
- None
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Details of risk rating
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Recommendation
Signatory
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I hereby acknowledge this report to be a fair and accurate reflection of the inspected site.