Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • SME Name

  • Add location
  • Store photos

Previous inspection

  • Last inspection Reviewed ?

  • Any outstanding actions from previous visit ?

L8 water hygiene records

  • Are all water hygiene records up to date ?

  • Thermopen Calibration certificates present ?

  • Thermopens up to date ?

  • Overall condition of water hygiene book in good condition ?

SME

  • SME in full uniform ?

  • Does The SME have full PPE Kit in satisfactory condition ? If no what is required ?

  • Does SME request any new uniform ?

  • Is the SME area tidy ?

  • Is there sufficient lamp stock for the store ?

  • Is the communications diary being filled out ?

  • Any further training SME feels they may benefit from ?

  • Does the SME have any overall feedback they are willing to give ?

  • Is there an Adequate fuse stock located within store switchroom ?

Reactive / PPM's

  • Does SME have any issues / queries with FSI go or IBMS ?

  • Any overdue reactive calls, is so how long overdue and reason ?

  • Any overdue PPM's, if so how long overdue and reason ?

  • Any equipment issues that need to be address / possible quoted works ?

Store condition

  • AHU filters in good condition ?

  • Is there previous filter replacement stickers present ? If yes what is the date ?

  • Fan coil unit filters in good condition ?

  • Is shop floor lighting up to a good standard ?

  • Overdoor heater filters in good condition (if visible) ?

Van

  • Is the van clean

  • Is there any unreported damage ?

  • Are the SME step ladders tagged and in date ?

  • Does the necessary SME equipment present an up to date PAT test sticker ?

Store operations review

  • Any issues regarding SME ?

  • Any issues within store which require attention ?

  • Anything you feel SME can improve on ?

  • How would you mark the overall performance of SME out of 5 ?

Sign off

  • SME

  • Auditor

  • Store ops

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.