Title Page

PERSON COMPLETING THIS CHECK

  • Name

NAME OF SCHEME

  • Scheme Address

DATE AND TIME

  • ENTER THE DATE AND TIME

THIS SECTION REQUIRES PHOTOS

  • Attendance Sheet-Take Photo After Signing

  • Take Picture Of Front Of Building Including Signs/Cones Displayed

  • Bulk Rubbish-Take Photo

  • Bin Store Floor Washed-Take Photo

  • Inside Bins Washed-Take Photo

  • Externals of Bins Washed

ANSWER THE FOLLOWING YES/NO/N/A

  • Safety Signs Displayed

  • Check Equipment/ A frame Ladder for Safety

  • Internal Windows Cleaned Inc Frames and Ledges

  • Resident Windows/Frames Cleaned External

  • Reporting Broken Glass And Inaccessible Windows

WEATHER CONDITIONS

  • Please Select an Option Below

SIGN TO CONFIRM WHEN FINISHED

  • Signature To Confirm All Above Completed

PLEASE SEND TO (Your Team Colour) @cleanscapes.co.uk

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.