Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Client / Site

Entrance

  • Are the Doors and windows cleaned to a suitable standard

  • Are the Matts/Carpeted areas free from debris and stains

  • Are the skirting boards and ledges free from dust

Corridors

  • Are the carpeted areas and hard floor areas vacuumed and free from debris, Brushed and Mopped

  • Are the skirting boards and ledges free from dust

Offices and Training rooms

  • Are the carpeted areas and hard floor areas vacuumed and free from debris

  • Are the skirting boards and ledges free from dust

  • Are the desks clean and free from residue or sticky marks?

  • Are the doors dust and smear free, Handles clean and no sticky reisdue

  • All bins to have bin liners replaced and outside of bins to be clean and dirt free

Male, Female Toilets

  • Basins & Taps -Cleaned and sanitized, free from dust, grime, lime scale and finger marks ?

  • Seats, hindges and cubicles- Are the cleaned and sanitized, free from grime, finger marks, general soiling or smears ?

  • Are the walls and tiled areas cleaned sanitized and free from finger marks, general soiling or smears ?

  • Are the Gents urinals, clean and smear free with no build up of grime or lime scale

  • Are all toilet roll holders and Soap dispensers filled adequately

  • Are the toilet floors swept and mopped to a high standard, with no debris or stains

Staff room

  • Are the hard floor area vacuumed, swept, Mopped on a daily basis leaving no debris, stains or marks

  • Are the kitchen work tops sanitized leaving no debris or stains

  • Are the vending machines, dust free and the glass clean and smear free?

  • Are the bins emptied on a daily basis with no marks on the outside

  • Are all skirting boards and ledges dust and smear free

Sign off

  • Have there been any accidents in store since the last audit?

  • Please provide details of the accident

  • Comments Box

  • GSA area manager Name

  • GSA Area Manager Signature

  • Smurfit - Name

  • Smurfit signature

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.