SOP 228.01-att-2: Weekly_Monthly Safety_Sanitation Inspection Report
Full Text
SOP 228.01
Attachment 2
3/29/18
(TEMPLATE ONLY)
Name of Your Facility
Weekly/Monthly Safety and Sanitation Inspection (Specify Type of Inspection)
Date_________________
AREAS: LIST ALL AREAS OF YOUR FACILITY
1. Administrative Offices
Discrepancies Found, if any
specify:______________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Corrective Action(s) Taken, if any
specify:______________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Date, Time, and Results of Reinspection, if
applicable:___________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2. Medical/Dental Sections
Discrepancies Found, if any
speccify:_____________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Corrective Action(s)Taken, if any
specify:______________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Date, Time, and Results of Reinspection, if
applicable:___________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Retention Schedule: Upon completion, the facility’s report similar to this attachment shall be maintained for one (1)
year and then shall be destroyed.