Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

EXTERIOR

Line Marking

  • Does the site have designated areas and car spaces with Line Marking?

  • Qty. of bays that require line marking?

  • Paint Colour

  • Please provide details and images of works to be completed.

  • Does it require a repaint?

  • Paint Colour

  • Please Provide a brief description, location and quantity with your photos.

  • Does the site require stencilled lettering work?

  • Paint Colour

  • Please provide details and Images of works to be completed.

  • Add media

Bollards

  • Does the site have any Bollards that are damaged or require a repaint?

  • Qty. of Bollards that are damaged?

  • Are these bollards a hazardous risk for the health and safety of staff and public?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

  • Qty. of Bollards that require Painting?

  • Paint Colour

  • Priority?

  • Please provide details and images of works to be completed.

Curbing

  • Is there any damaged curbing?

  • Identify the issues concerning the damaged curbing. Provide photos, location and a detailed scope.

  • Please provide details and images of works to be completed.

  • Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Floor Patches

  • Are they any floor patches?

  • Identify the issues concerning floor patches. Provide photos, location and a detailed scope.

  • Please provide details and images of works to be completed.

  • Health and Safety risk priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Trolley Bays

  • Does the site have trolley bays?

  • Identify the issues concerning the trolley bays giving photos, location and a detailed scope.

  • Add media

  • Priority Risk?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Signage

  • Damaged, Repair or Replacement of signage?

  • Identify the issues concerning the signage providing photos, location and a detailed scope.

  • Photos

  • Priority Risk?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Graffiti

  • Is there any visible Graffiti?

  • Identify the issues concerning Graffiti providing photos, location and a detailed scope.

  • Photos

  • Priority Risk?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Painting

  • Is painting required?

  • Identify the Painting issues providing photos, location and a detailed scope.

  • Photos

  • Priority Risk?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

ENTRY

Trolley Area & Bumpers

  • Trolley Area & Bumpers

  • Identify the issues concerning the trolley area giving photos, location and a detailed scope.

  • Photos

  • Priority Risk?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately. 





Panels

  • Panels

  • Identify the issues concerning the panels giving photos, location and a detailed scope.

  • Photos

  • Priority Risk?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately. 





Signage

  • Signage

  • Identify the issues concerning signage giving photos, location and a detailed scope.

  • Photos

  • Priority Risk?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately. 





Coloms

  • Coloms

  • Identify the issues concerning the coloms giving photos, location and a detailed scope.

  • Photos

  • Priority Risk?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately. 





REGISTERS

Cabinetry

  • Cabinetry

  • Identify the issues concerning the cabinetry giving photos, location and a detailed scope.

  • Add media

  • Priority Risk?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Bumpers

  • Bumpers

  • Identify the issues concerning the bumpers giving photos, location and a detailed scope.

  • Add media

  • Priority Risk?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Gates / Chains

  • Gates & Chains

  • Identify the issues concerning the gated & chainsgiving photos, location and a detailed scope.

  • Add media

  • Priority Risk?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Drawers At Checkout

  • Is there repair or replacements required for counter draws?

  • Identify the issues concerning the drawers at checkout, giving photos, location and a detailed scope.

  • Add media

  • Priority Risk?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Bag Holders

  • Bag Holders

  • Identify the issues concerning the bag holders giving photos, location and a detailed scope.

  • Add media

  • Priority Risk?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

STOCKROOMS

Floor Patches

  • Are there floor patches on stockroom floor?

  • Identify the issues concerning floor patches in the stockroom. Provide photos, location and a detailed scope.

  • Add media

  • Risk Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Stockroom Doors

  • Are the stockroom doors in need of repairs, replacements, repaints or patching?

  • Identify the issues concerning Doors in the stockroom. Provide photos, location and a detailed scope.

  • Add media

  • Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Paint ONLY Painted Walls

  • Do walls require painting?

  • Locate the walls that require a repaint in the stockroom. Provide photos, location and a detailed scope.

  • Add media

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Wall Patches

  • Wall Patches

  • Identify the issues concerning Wall Patches in the stockroom. Provide photos, location and a detailed scope.

  • Add media

  • Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Line Marking

  • Is Line Marking required in stockroom?

  • Identify the areas which require line marking. Provide photos, location and a detailed scope.

  • Add media

  • Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

  • Paint Colour?

Bollards - Guard Rails.

  • Damaged Bollards or Guard Rails?

  • Identify the issues concerning the bollards or guard rails in the stockroom. Provide photos, location and a detailed scope.

  • Add media

  • Risk Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

  • Do bollards require painting?

  • How many bollards are to be painted?

  • Paint Colour

  • Provide photos, locations and detailed scope

  • Add media

  • Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

STAFF AREA

Drawers & Doors

  • Drawers and Doors

  • Identify the issues concerning drawers and doors in the stockroom. Provide photos, location and a detailed scope.

  • Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

  • Add media

Tiles

  • Do any tiles require repair or replacement?

  • Identify the issues concerning tile repair or replacement in the stockroom. Provide photos, location and a detailed scope.

  • Add media

  • Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately. 






Toilets

  • Are there any repairs or replacements required in the toilet facilities?

  • Identify the issues concerning toilet repair or replacement accessories in the bathroom. Provide photos, location and a detailed scope.

  • Add media

  • Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately. 






Silicone in Wet Areas

  • Do wet areas require caulkiing or re-caulking?

  • Identify the issues concerning silicone in the staff area. Provide photos, location and a detailed scope.

  • Add media

  • Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately. 






Paint

  • Does the staffroom have any paint defects?

  • Identify the paint defects. Provide photos, location and a detailed scope.

  • Add media

  • Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately. 






Kitchenette Taps & Sink

  • Do the sinks and taps require repair on the kitchenette?

  • Identify the paint defects. Provide photos, location and a detailed scope.

  • Add media

  • Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately. 






  • Does the staffroom have any paint defects?

  • Identify the paint defects. Provide photos, location and a detailed scope.

  • Add media

  • Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately. 






CEILINGS

Ceiling Tiles / Grid

  • Does the Ceiling require Repair/Replacement of tiles or grid?

  • Identify the issues concerning ceiling tiles and grid. Provide photos, location and a detailed scope.

  • Add media

  • Risk Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately. 






Leaks

  • Are their any leaks in ceiling?

  • Identify the issues concerning leaks in the ceiling. Provide photos, location and a detailed scope.

  • Add media

  • Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately. 






Lighting

  • Does the ceiling require lighting replacements or repairs?

  • Identify the issues concerning lighting throughout the store. Provide photos, location and a detailed scope. (Specifics)

  • Add media

  • Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately. 






PAINTING

Plaster Patching & Painting

  • Is there patching or painting required?

  • Identify the areas that require patching and painting. Provide photos, location and a detailed scope.

  • Add media

  • Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Doors & Frames Around Store

  • Do Doors & Frames Around the store need a repaint?

  • Identify the issues concerning floor patches in the stockroom. Provide photos, location and a detailed scope.

  • Add media

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Walls Around Store

  • Do the walls around the store require a repaint?

  • Add media

  • Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Coloms

  • Do coloms require a repaint?

  • Identify the issues concerning floor patches in the stockroom. Provide photos, location and a detailed scope.

  • Add media

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Ceiling

  • Does the ceiling require a repaint or patch?

  • Identify the issues concerning ceiing patch and paint in the store. Provide photos, location and a detailed scope.

  • Add media

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Flooring

Vinyl Tiles

  • Repair or replacement of vinyl tiles?

  • Identify the issues concerning vinyl tiles throughout the store. Provide photos, location and a detailed scope.

  • Add media

  • Risk Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Concrete Repair

  • Are concrete repairs required?

  • Identify the concrete repair issues. Provide photos, location and a detailed scope.

  • Add media

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

FIRE SERVICES

Fire Services

  • Is the Evacuation plan clearly displayed?

  • Access to Fire extinguishers, with visible service tags and signage?

  • Fire Exit's in place and clearly visible?

  • Is there clear access to the fire escape doors and panic bars fully functional?

  • Risk Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

Roller Shutters / Security Screens

Roller Shutters

  • Roller Shutters

  • Converse with management to ensure shutters are fully functional. Ensure any issues regarding shutters are documented in detail wthin this report.

  • Add media

  • Risk Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

AIR CONDITIONER

Air Conditioner

  • Does the Air conditioner unit require a service repair or replacement part?

  • What licensed trades will be required to undertake works?

  • Identify the issues concerning plumbing on the air conditioning unit. Provide photos, location and specific details.

  • Add media

  • Risk Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

  • Identify the issues concerning electrical on the air conditioning unit. Provide photos, location and specific details.

  • Add media

  • Risk Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

ELECTRICAL

Electrical

  • Does the store require electrical works on..

  • Power Points?

  • Light Switches?

  • Kitchen Fridge?

  • Other?

  • Risk Priority?

  • You are advising UFM of safety hazard issue that requires immediate attention. Call through to UFM office to notify them of pressing issues on site. Once in our system and we can take action immediately.

OTHER

  • Other?

  • Identify other issues of concern here. Provide photos, location and a detailed scope.

  • Add media

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.