Title Page

  • Store Number:

  • Store Name:

  • Completed by

  • Conducted on

  • Location

Windows

  • Is the Glass clean and streak-free to a good standard?

  • Actions being taken to address failed area

  • Resolution date

  • Is the Glass-Frames clean to an acceptable standard?

  • Actions being taken to address failed area

  • Resolution date

General Store Areas

  • Are the surfaces being cleaned to good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

  • Are the mirrors being cleaned to good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

  • Are the Aisle floors being cleaned to good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

  • Are the Entrance floors being cleaned to good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

Fitting Rooms

  • Are the fitting room floors being cleaned to good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

  • Are the fitting room partitions being cleaned to good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

  • Are the mirrors being cleaned to good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

Back Stairs / Corridors

  • Are the Corridor areas clear?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

  • Are surfaces being cleaned to a good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

Associate Lounge

  • Are the floor areas being cleaned to a good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

  • Are surfaces being cleaned to a good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

Office Areas

  • Are the floor areas being cleaned to a good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

  • Are surfaces being cleaned to a good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

Toilets

  • Are the toilet floors being cleaned to a good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

  • Are the toilet surfaces being cleaned to a good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

  • Are the mirrors being cleaned to a good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

  • Are the toilets being cleaned to a good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

  • Are the wash basins being cleaned to a good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

  • Are there any fabric issues?<br>*Picture(s) Required*

  • Are there any broken or closed toilets?<br>*Picture(s) Required*

Cleaning Cupboards

  • Is the cleaners cupboard being cleaned to a good standard throughout the Month?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

  • Please provide a photo of the cleaning cupboard.

  • Is there at least a 14-day supply of chemicals on site?

  • Are the relevant COSHH Sheets available?<br>*Picture(s) Required*

  • Actions being taken to address failed area

  • Resolution date

Machinery

  • Is the PAT Testing Date Valid?

  • Actions being taken to address failed area

  • Are there any visible defects on any equipment?

  • Please provide details:

  • Please take a photo of the machine clock timer

  • Please list all machinery currently on site. Please include Make, Model, Serial no. & any comments on condition of machine.

Staff

  • Is the Staff Presentation to a good standard?

  • Actions being taken to address failed area

  • Resolution date

Finalize Audit

  • Has the cleaning agreement been updated/reviewed by Store Manager and Area Manager?

  • Actions being taken to address failed area

  • Resolution date

  • Is the rota in place for the next 4 weeks and has this been communicated to store?

  • Actions being taken to address failed area

  • Resolution date

  • Have there been any accidents in store since the last audit?

  • Please provide brief detail of accident(s) in the comments section.

  • Client name and position

  • Client signature

  • Signature

  • Photograph of signature

  • GSA Signature

  • Store Manager comments on the performance of the whole month.

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.