Audit

Audit Completed By:
Supervisor
Assessor
SCORING MATRIX DEFINITIONS - 0 = Not Acceptable / 1 = Poor / 2 = Below Standard / 3 = Meets Specification / 4 = Good / 5 = Excellent

0 = Not Acceptable / 1 = Poor / 2 = Below Standard / 3 = Meets Specification / 4 = Good / 5 = Excellen

Entrance & Foyer
External Entry (Litter, Swept, Hosed)

Everything meet standrads? Take a picture of it

Entrance Glass

Everything meet standrads? Take a picture of it

Floors

Everything meet standrads? Take a picture of it

Handrails

Everything meet standrads? Take a picture of it

Walls

Everything meet standrads? Take a picture of it

All bins empty?

Office, Reception, Lounge Area And Staff Rooms
Floors

Everything meet standrads? Take a picture of it

Windows

Everything meet standrads? Take a picture of it

Workspace

Everything meet standrads? Take a picture of it

Tables

Everything meet standrads? Take a picture of it

Walls

Everything meet standrads? Take a picture of it

All bins empty?

Aerobics Room
Floors

Everything meet standrads? Take a picture of it

Windows

Everything meet standrads? Take a picture of it

Walls

Everything meet standrads? Take a picture of it

Creche
Floors

Everything meet standrads? Take a picture of it

Windows

Everything meet standrads? Take a picture of it

Walls

Everything meet standrads? Take a picture of it

All bins empty?

Gym And Weights Room
Floors (Including Under Treadmills)

Everything meet standrads? Take a picture of it

Windows

Everything meet standrads? Take a picture of it

Walls (Including Easements)

Everything meet standrads? Take a picture of it

Drink Fountains

Everything meet standrads? Take a picture of it

All bins empty?

Changerooms
Floors

Everything meet standrads? Take a picture of it

Matting

Everything meet standrads? Take a picture of it

Walls

Everything meet standrads? Take a picture of it

Tiles

Everything meet standrads? Take a picture of it

Showers

Everything meet standrads? Take a picture of it

Basins

Everything meet standrads? Take a picture of it

Mirrors

Everything meet standrads? Take a picture of it

Fittings

Everything meet standrads? Take a picture of it

Urinals

Everything meet standrads? Take a picture of it

Seating

Everything meet standrads? Take a picture of it

Drains

Everything meet standrads? Take a picture of it

All bins empty?

Soap replaced?

Toilet paper replaced?

ACTION PLAN REQUIREMENT

All Previous Action Plan Completed?

Action Plan Required For This Audit?

Date of Action Plan to be Completed
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.