Coronavirus Safety Compliance Audit Form
Complete this form to document your coronavirus safety compliance audit. Please answer all questions accurately to ensure a thorough review.
Audit Location
*
Date of Audit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Auditor Name
*
First Name
Last Name
Are face masks being worn correctly in all required areas?
*
Yes
No
Not Applicable
Are hand sanitizing stations available and stocked?
*
Yes
No
Not Applicable
Are physical distancing measures in place and observed?
*
Yes
No
Not Applicable
Are cleaning and disinfection protocols being followed?
*
Yes
No
Not Applicable
Is COVID-19 safety signage clearly displayed?
*
Yes
No
Not Applicable
Are ventilation measures adequate (e.g., open windows, air filtration)?
*
Yes
No
Not Applicable
Additional Comments or Observations
Submit Audit
Should be Empty: