Information
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Audit Title
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Prepared by
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Document No.
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Site name
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Conducted on
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Location
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Attendees
Inspection report requirements and metrics
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Cleaning/H&S inspection shall be performed once per week by the General manager (or authorized representative).
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Key:
Good = 10 points
Fair = 5 points
Poor = 0 points
Yes = 10 points
No = 0 points
NA = 10 points
Building exterior
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Inspected building exterior location
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Entries and exits (including paved areas)
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Light diffusers, covers, exit lights
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Graffiti
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Signage and directory boards
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Overall appearance
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Periodic items completed to schedule
Car parks
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Inspected car park and grounds location
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Rubbish removed
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Overall appearance
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Periodic items completed to schedule
Café Area
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Inspected café location
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Floors clean and free of waste
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Tables and chairs clean and free of litter
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Chairs neatly placed at tables
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Children's highchairs clean
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Overall appearance
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Periodic items completed to schedule
Public toilets - male
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Inspected male toilets location
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Benches/vanities clean
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Toilet bowls
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Urinals
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Rubbish bins
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Surfaces (including tops of cubicles)
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Mirrors
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Hand basins
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Floor drains
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Dryers and dispensers
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Floor surfaces and floor mats
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Doors and kick plates
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Walls
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Toilet requisite supply level
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Vents
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Overall appearance
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Periodic items completed to schedule
Public toilets - female
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Inspected female toilets location
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Benches/vanities clean
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Toilet bowls
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Rubbish bins
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Surfaces (including tops of cubicles)
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Mirrors
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Hand basins
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Floor drains
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Dryers and dispensers
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Floor surfaces and floor mats
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Doors and kick plates
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Walls
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Toilet requisite supply level
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Vents
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Overall appearance
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Periodic items completed to schedule
Changing rooms Male/Female
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Inspected changing rooms Male/Female
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Benches/vanities clean
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Toilet bowls
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Rubbish bins
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Surfaces (including tops of lockers)
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Mirrors
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Hand basins
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Floor drains
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Dryers and dispensers
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Floor surfaces and floor mats
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Doors and kick plates
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Walls
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Toilet requisite supply level
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Vents
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Overall appearance
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Periodic items completed to schedule
Poolside - Main, Teaching and Health pool
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Inspected Poolside - Main, Teaching and Health pool
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Floor surfaces
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Scums, Gulleys, Steps
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Lifeguard equipment
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Rubbish bins
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Cupboards - Storage
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Overall appearance
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Periodic items completed to schedule
Public toilets - disabled
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Inspected disabled toilet location
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Benches/vanities clean
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Toilet bowls
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Rubbish bins
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Surfaces (including tops of cubicles)
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Mirrors
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Hand basins
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Floor drains
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Dryers and dispensers
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Floor surfaces and floor mats
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Doors and kick plates
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Walls
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Toilet requisite supply level
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Vents
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Overall appearance
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Periodic items completed to schedule
Corridors, fire escapes
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Inspected Corridors, fire escapes
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Doors
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Walls
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Ceiling
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Paintwork
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Rubbish
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Light fittings
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Stairs and risers
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Overall appearance
Cleaning Cupboards - Chemical storage
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Inspected Chemical Storage - Dry change cupboard
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Neat and tidy
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Chemicals stored correctly
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Stock level
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Overall appearance
Staff room
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Inspected staff room location
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Rubbish bins
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Surfaces
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Graffiti
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Light switches
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Floor
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Overall appearance
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Periodic items completed to schedule
Customer service
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Staff demonstrate strong customer/client focus
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Staff are well dressed and groomed
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Staff courtesy
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Staff adherence to code of conduct
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Communications with customers and centre management
Centre management
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Rubbish bins
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Floor surfaces and floor mats
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Overall appearance
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Periodic items completed to schedule
General issues
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Have any workplace health and safety issues been brought to your attention since last inspection
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maintenance issues
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General comments and discussions
Assessors signatures
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General Manager or authorized representative
