Carpet Cleaning Risk Assessment Form
Please complete this assessment to identify and mitigate potential risks before carpet cleaning begins.
Type of premises
*
Residential
Commercial
Industrial
Other
Is there adequate ventilation in the cleaning area?
*
Yes
No
Partial/Unsure
Are there any electrical hazards (e.g., exposed wires, outlets near wet areas)?
*
No hazards observed
Minor hazards present
Significant hazards present
Condition of carpet (select the most relevant option)
*
Good (no visible damage or stains)
Minor stains or wear
Significant stains or damage
Presence of furniture or obstacles in the cleaning area
*
Area is clear
Some furniture/obstacles present
Difficult to access due to obstacles
Are there any known allergies or sensitivities to cleaning products?
*
None known
Unsure
Yes (please specify)
Rate the risk of slips, trips, or falls in the area
*
1
2
3
4
5
Are there pets or children present in the area during cleaning?
*
No
Yes, pets only
Yes, children only
Yes, both pets and children
Access to water and power supply
*
Both easily accessible
One is difficult to access
Both are difficult to access
Risk factors overview
*
Rows
Low
Medium
High
Risk of damage to carpet
1
2
3
Risk of damage to furniture
4
5
6
Risk of chemical exposure
7
8
9
Risk of equipment malfunction
10
11
12
Submit Assessment
Should be Empty: