Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Lobby

  • Glass Doors

  • Floors

  • Vertical/Horizontal Surfaces

  • Trash/Recycle

  • Walls /Baseboard

  • Ceiling Vents

  • Furniture - Spot clean/wipe

  • Furniture - Arrange tables/chairs

  • Comments
  • Add media

Restrooms

  • Walls/Baseboard

  • Entry Doors

  • Floor - Wet mop/machine scrub

  • Floor - Dry mop/sweep/swifer

  • Vertical/Horizontal Surfaces/ Counters

  • Trash/Recycle

  • Fixyures (toilets, sinks, urinals, facucets)

  • Partitions/Doors

  • Mirrors

  • Dispensers

Kitchenette/Breakrooms

  • Ceiling Vents

  • Comments
  • Add media

  • Doors

  • Walls/Baseboards

  • Floors

  • Ceiling Vents

  • Vertical/Horizonal Surfaces/Counters/Sink

  • Fixtures

  • Dish Pickup

  • Trash/Recycle

  • Fridges

  • Microwaves

  • Refrigerator

  • Furniture - Wipe

  • Furniture - Arrange tables/chairs

  • Vending Machines

  • Game tables

  • Comments
  • Add media

Conference Room

  • Doors

  • Floors

  • Vertical/Horizonal Surfaces/Table/White Board

  • Trash/Recycle

  • Dishes

  • Walls/Baseboards

  • Ceiling Vents

  • Supplies

  • Furniture - Spot clean/wipe

  • Furniture - Arragne tables/chairs

  • Comments
  • Add media

Work Space (cubes, community zones)

  • Doors

  • Floors

  • Vertical/Horizonal Surfaces/Table/White Board

  • Trash/Recycle

  • Furniture

  • Window BLINDS

  • Walls/Baseboards

  • Ceiling Vents

  • Cubicle partitions

  • Comments
  • Add media

Elevators

  • Doors

  • Walls/Baseboards

  • Floors

  • Ceiling Vents

  • Vertical/Horizontal Surfaces/ dropped lights

  • Comments
  • Add media

Main Corridors

  • Doors

  • Floors

  • Ceiling Vents

  • Vertical/Horizontal Surfaces/ dropped lights

  • Trash/Recycle

  • Furniture - Spot clean/wipe

  • Furniture - Arrange tables/chairs

  • Drinking Fountains

  • Comments
  • Add media

Hall Ways

  • Doors

  • Walls/Baseboards

  • Floors

  • Ceiling Vents

  • Vertical/Horizonal Surfaces

  • Trash/Recycle

  • Furniture - Spot clean/wipe

  • Furniture - Arrange tables/chairs

  • Hallways leading to Gownroom/clean spaces

  • Drinking Fountains

  • Comments
  • Add media

Stairwells

  • Doors

  • Walls/Baseboards

  • Floors/stairs

  • Ceiling Vents

  • Stairwells leading to Gownroom/clean space

  • Vertical/Horizonal Surfaces

  • Comments
  • Add media

Custodial Closets

  • Doors

  • Walls/Baseboards

  • Floors

  • Ceiling Vents

  • Fixtures

  • Comments
  • Add media

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.