Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Personal Details

  • Name

  • I.D photo

  • Address

  • Telephone Number

  • Email Address

Uniform

  • Does the staff member have uniform?

  • Are they wearing their uniform?

  • Are they wearing appropriate footwear?

  • Do they have an ID card?

  • If they have their ID card is it being displayed correctly?

Training

  • Confirm all training items have been completed and are up to date. If any are not completed provide details as to when they will be

  • Induction

  • Start the day safely

  • Chemical handling

  • Manual handling

  • Extension chord training

  • Agar training

Training refresher

  • Chose 2 questions from each handbook questionnaire and ask the employee. Notate feedback below. If any questions are answered incorrectly the employee must review handbooks and complete training assessments again in full

  • Enter details of question

  • What was the employees answer?

  • Was their answer correct

  • Enter details of question

  • What was the employees answer?

  • Was their answer correct

  • Enter details of question

  • What was the employees answer?

  • Was their answer correct

  • Enter details of question

  • What was the employees answer?

  • Was their answer correct

  • Enter details of question

  • What was the employees answer?

  • Was their answer correct

  • Enter details of question

  • What was the employees answer?

  • Was their answer correct

Appraisal

  • Cleaning Performance and Knowledge

  • Site Knowledge and Performance

  • Personal Presentation

  • Attendance and Availability

  • Summary

Staff Development

  • What areas does the staff member need additional training and development in?

  • Staff Feedback

Signatory

  • Employee signature

  • Select date

  • Managers Signature

  • Select date

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.