ACS CLEANERS ASSESSMENT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Cleaners Name

• Cleaners name and photograph.

  Yes

  No

  N/A

Uniform and Equipment .

• Is the staff member wearing the correct uniform, and well groomed?<br>

  Yes

  No

  N/A

• Equipment is kept in good condition.

  Safe

  At Risk

  N/A

• Correct shoes worn and in good condition.

  Yes

  No

  N/A

Professionalism and manner.

• Is courteous and polite to public.

  Yes

  No

  N/A

• Effectively handles difficult situations.

  Yes

  No

  N/A

• Displays a friendly and calm demeanour .

  Yes

  No

  N/A

• Follows instructions promptly

  Yes

  No

  N/A

Communications

• Effective radio communications (call codes)

  Good

  Fair

  Poor

• Understands report writing (slip and fall Procedures)

  Yes

  No

  N/A

Site duties

• Does timely floor and toilet checks.

  Yes

  No

  N/A

• Monitors and reports OH&S issues.

  Yes

  No

  N/A

• Is familiar with the site and surroundings.

  Yes

  No

  N/A

• Site operating hours

  Yes

  No

  N/A

Legal awareness knowledge.

• Customer experience program.

  Yes

  No

  N/A

• Lost child scenario .

  Yes

  No

  N/A

Safety

• Aware of emergency exits and passages and understands emergency procedure .

  Yes

  No

  N/A

• Aware of hose reel and and fire extinguishers positions.

  Safe

  At Risk

  N/A

• Aware of the location and of the first aid kit?

  Yes

  No

  N/A

• Aware of hazardous chemicals and where they are stored.

  Yes

  No

  N/A

• Understand the material safety data sheet (MSDS) on site.

  Yes

  No

  N/A

Conclusions

• Managers signature.

  Sign

• Staff members Signiture.

  Sign

• Select date

  Date

• What is the outcome of this report?

  Select Satisfactory Unsatisfactory

  • Satisfactory
  • Unsatisfactory