Title Page

  • Client / Site

  • Cleaner's Name

  • Date and Time of Inspection

  • Inspected by

  • Location

Removed or Replaced

  • Bath mats or rugs

  • Anything on countertops

  • Dirty laundry

  • Wastebasket (and empty it!)

Sprayed and Scrubbed

  • Basin

  • Bathtub

  • Shower

  • Toilet

  • Shower walls

  • Shower door glass

Wiped Off

  • Light fixtures

  • Vent fans

  • Curtain rods

  • Shower fixtures

  • Sink faucets

  • Vanity and countertops

Vacuumed / Mopped

  • Floor

  • Bathmats


  • Faucets and fixtures

  • Drain caps

  • Handles and knobs

  • Mirror


  • Recommendations

  • Cleaner's Full Name and Signature

  • Inspector's Full Name and Signature

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.