Title Page

  • Site conducted

  • Work Area / Job

  • Conducted on

  • Conducted by Stanwell Employee

  • Conducted by UGL Employee

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Do the works being executed align with details of the corresponding service scope - Refer Scope

  • Are urinals, toilets, showers and wash basins clean, disinfected, free of discoloration and debris, and adequately stocked with consumables?

  • Are all floors absent of dirt, stains, visible dust & debris, watermarks and streaks from mopping?

  • Are all hard surfaces, benches and tables clean, disinfected and free of watermarks, stains and debris?

  • Are kitchens & crib rooms, including fittings (benchtops, splashbacks, sinks, taps, etc) free of dirt, stains, watermarks, and debris?

  • Are appliances including fridges, microwaves, dispensers, dishwashers, etc clean, free of dirt, stains, and debris?

  • Are kitchens adequately stocked with consumables?

  • Are windows, window sills, and window tracks clean and free of dust, dirt, cobwebs, watermarks, and debris?

  • Are common areas, meeting rooms, and stairwells clean and free of dirt and debris?

  • 7 "Yes" out of the above 8 questions is considered a pass for scope alignment (if No - provide details)

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  • Is the work area safe and/or works being conducted safely?

  • Is equipment required to complete these works well maintained and appropriate Personal Protective Equipment (PPE) and Safety Data Sheets (SDS) provided?

  • Are work orders relating to this service scope being completed on time and closed out with adequate commentary

  • Is the outcome of work area and/or works audited to an acceptable standard?

  • Are there any audit actions requiring follow up or rectification?

  • All identified issues must provide evidence of compliance by agreed date

  • Stanwell Employee

  • UGL Employee

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.