Return to Office Compliance Audit Checklist Form
Complete this checklist to audit and document return-to-office compliance at your workplace.
Auditor Name
*
First Name
Last Name
Audit Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location / Office
*
Department or Area Audited
*
Are all required safety signage and instructions clearly visible?
*
Yes
No
Not Applicable
Are cleaning supplies and sanitization stations stocked and accessible?
*
Yes
No
Not Applicable
Is physical distancing being maintained in shared spaces?
*
Yes
No
Not Applicable
Are masks or face coverings available where required?
*
Yes
No
Not Applicable
Are workspaces clean, organized, and ready for use?
*
Yes
No
Not Applicable
Is ventilation adequate and operational in all areas?
*
Yes
No
Not Applicable
Additional Comments or Observations
Submit Audit
Should be Empty: