Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Support Visit Report

Visit Details

  • Franchisee present during visit?

  • Visit completed by?

  • Select date

Unit and Storage

  • First impression of the unit and storage area

  • Comments

  • Action

  • Photo

SEPM Report Review

  • SEPM report review completed?

  • Comment

  • Action

  • Photo

Yellow Report Review

  • Yellow Report review completed?

  • Comment

  • Action

  • Photo

  • Area penetration - how are you performing against the rest of the network?

Staff Training Record Review

  • Staff Training Record review completed?

  • Comment

  • Action

  • Photo

Staff CRB, ID Card and Deed of Covenant Record Review

  • Staff CRB, ID Card and Deed of Covenant review completed?

  • Comment

  • Action

  • Photo

  • Copy of last months payroll

Health & Safety

  • Who is your Employment and Health & Safety provider?

  • Comment

  • Action

  • Photo

  • What evidence of Health & Safety culture is visible?

  • Photo

  • Which Company do you currently purchase Chemicals from?

  • Are you Safe Contractor Accredited?

Marketing Activities

  • Business growth?

  • Comment

  • Action

  • Marketing budget/plan?

  • Comment

  • Action

Customer Service

  • Do you have 5 or more justified complaints showing on SEPM Report?

  • Comment

  • Action

  • Photo

Network Survey

  • Did you complete the recent Network Survey?

  • Comment

  • Action

Visit Completion

  • Do you feel there is any additional help or support Head Office could provide?

  • Visit complete?

  • Franchise 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.