Information
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Ground Floor
Are the Elements listed below acceptable, unacceptable or non applicable
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Walls and skirtings
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External features fire exits and stairwells
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Window ledges
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Doors
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Hallways/corridors
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Tables and seats
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Hard floors
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Reception area
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Soft floors
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Fixtures and fittings
Toilets area
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Cubicles
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Sink and taps
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Mirrors
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Hard floor
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Walls
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Doors
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Any additional areas
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FIRST FLOOR
First Floor including kitchen and canteen
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Walls and skirtings
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External features fire exits and stairwells
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Window ledges
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Doors
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Hallways/corridors
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Tables and seats
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Hard floors
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Reception area
-
Soft floors
-
Fixtures and fittings
Toilet area
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Sink and taps
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Doors
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Walls
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Mirrors
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Cubicles
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Hard floor
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Any additional areas
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SECOND FLOOR
SecondFloor including kitchen and canteen
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Walls and skirtings
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External features fire exits and stairwells
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Window ledges
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Doors
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Hallways/corridors
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Tables and seats
-
Hard floors
-
Reception area
-
Soft floors
-
Fixtures and fittings
Toilet area
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Cubicles
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Sink and taps
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Mirrors
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Walls
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Hard floor
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Doors
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THIRD FLOOR
Third Floor including kitchen and canteen
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Walls and skirtings
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External features fire exits and stairwells
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Window ledges
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Hallways/corridors
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Doors
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Tables and seats
-
Hard floors
-
Reception area
-
Soft floors
-
Fixtures and fittings
Toilets area
-
Cubicles
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Sink and taps
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Mirrors
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Hard floor
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Walls
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Doors
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Any additional areas
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FOURTH FLOOR
Fourth Floor including canteen and kitchen
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Walls and skirtings
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External features fire exits and stairwells
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Window ledges
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Hallways/corridors
-
Doors
-
Tables and seats
-
Hard floors
-
Reception area
-
Soft floors
-
Fixtures and fittings
Toilets area
-
Cubicles
-
Sink and taps
-
Mirrors
-
Hard floor
-
Walls
-
Doors
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Any additional areas
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Auditor Signature
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Client Signature