Staff Areas Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Tea Room

• Are there any staff members in tea room for reasons other than taking tea or lunch breaks?

  Compliant

  Non-Compliant

  N/A

• Tea Room door clean and in good working condition?

  Compliant

  Non-Compliant

  N/A

• Lights in good working condition?

  Compliant

  Non-Compliant

  N/A

• Floor clean and free from clutter?

  Compliant

  Non-Compliant

  N/A

• Has the floor been washed? (Evident)

  Compliant

  Non-Compliant

  N/A

• Is the refuse bin empty and clean with lid on?

  Compliant

  Non-Compliant

  N/A

• Is the eating area table clean and free from clutter?

  Compliant

  Non-Compliant

  N/A

• Are the walls clean? (Washed regularly)

  Compliant

  Non-Compliant

  N/A

• Cabinets clean,neat and free from clutter?

  Compliant

  Non-Compliant

  N/A

• Wash basin clean with no dirty crockery?

  Compliant

  Non-Compliant

  N/A

• Kettle clean and filled with water?

  Compliant

  Non-Compliant

  N/A

• No evidence of people drinking out of Deli packaging material? (Salad)

  Compliant

  Non-Compliant

  N/A

• Are there any items that does not belong in the Tea room?

  Yes

  No

  N/A

• Is the notice board clean, neat, organized, and without any outdated or unauthorized notices?

  Compliant

  Non-Compliant

  N/A

Locker Room

• Door clean and in good working condition?

  Compliant

  Non-Compliant

  N/A

• Floor clean?

  Compliant

  Non-Compliant

  N/A

• Lockers clean?

  Compliant

  Non-Compliant

  N/A

• Lockers neat and organized?

  Compliant

  Non-Compliant

  N/A

• Any suspicious items in room or lockers?

  Compliant

  Non-Compliant

  N/A

• Any clutter on top of cages?

  Compliant

  Non-Compliant

  N/A

• Cabinet clean and tidy?

  Compliant

  Non-Compliant

  N/A

• Walls clean?

  Compliant

  Non-Compliant

  N/A

• Lights in working order?

  Compliant

  Non-Compliant

  N/A

• Refuse bin clean and lid on?

  Compliant

  Non-Compliant

  N/A

Toilets

• Door clean and in good working order?

  Compliant

  Non-Compliant

  N/A

• Walls clean? (Washed regularly)

  Compliant

  Non-Compliant

  N/A

• All lights in working condition?

  Compliant

  Non-Compliant

  N/A

• Clean towels?

  Compliant

  Non-Compliant

  N/A

• Mirror clean?

  Compliant

  Non-Compliant

  N/A

• Hand wash basin clean?

  Compliant

  Non-Compliant

  N/A

• Hand wash soap available?

  Compliant

  Non-Compliant

  N/A

• Toilet doors clean and in working condition? (Locks etc.)

  Compliant

  Non-Compliant

  N/A

• Toilet cubicle walls clean?

  Compliant

  Non-Compliant

  N/A

• Floors of cubicles clean?

  Compliant

  Non-Compliant

  N/A

• All toilets in good working order?

  Compliant

  Non-Compliant

  N/A

• Are the toilets clean?

  Compliant

  Non-Compliant

  N/A

• Toilet paper at each cubicle?

  Compliant

  Non-Compliant

  N/A

• Extractor clean and in good working order?

  Compliant

  Non-Compliant

  N/A

• Is the she bin clean? (Cleaned regularly?)

  Compliant

  Non-Compliant

  N/A

• Ceiling clean?

  Compliant

  Non-Compliant

  N/A

• Dust bin clean?

  Compliant

  Non-Compliant

  N/A

Passage

• Floor clean?

  Compliant

  Non-Compliant

  N/A

• Walls clean?

  Compliant

  Non-Compliant

  N/A

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