Information

  • Work Order No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Interior Janitorial

General Interior

  • KEY
    5 - Exceeds Service Expectation
    4 - Meets Specifications
    3 - Marginal Pass
    2 - Service/Rework Required
    1 - Unacceptable

  • Rate Entry Mats

  • Rate the cleanliness of the Entry Mats

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Carpeted Floors<br>

  • Rate Cleanliness of Carpeted Floors

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Walls and Baseboards <br>

  • Rate Cleanliness of Walls and Baseboards

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Interior Store Front Glass, Mullions, & Entrance Doors<br>

  • Rate Cleanliness of Store Front Glass, Mullions & Entrance Doors

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Window Blinds/Shades<br>

  • Rate Cleanliness of Office Window Blinds/Shades

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Interior Glass<br>

  • Rate Cleanliness of Interior Glass

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Dusting<br>

  • Rate Completeness of Dusting

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Diffusers<br>

  • Rate Cleanliness of Diffusers

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Ceiling Tiles<br>

  • Rate Cleanliness of Ceiling Tiles

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Drinking Fountains<br>

  • Rate Cleanliness of Drinking Fountains

  • Take a picture of the issue

  • Is this presenting a safety hazard

  • Rate Furniture/Tables/Chairs<br>

  • Rate Cleanliness of Furniture/Tables/Chairs

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Interior ATMs<br>

  • Rate Cleanliness of Interior ATMs

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

Offices

  • KEY
    5 - Exceeds Service Expectation
    4 - Meets Specifications
    3 - Marginal Pass
    2 - Service/Rework Required
    1 - Unacceptable

  • Rate Furniture/Chairs/Desks<br>

  • Rate Cleanliness of Furniture/Desks/Chairs

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Walls/Wall Covering/Baseboards <br>

  • Rate Cleanliness of Walls/Wall Covering/Baseboards

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Wall Glass/Doors

  • Rate Cleanliness of Wall Glass/Doors

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

Bathrooms

  • KEY
    5 - Exceeds Service Expectation
    4 - Meets Specifications
    3 - Marginal Pass
    2 - Service/Rework Required
    1 - Unacceptable

  • Rate Bathroom Walls

  • Rate cleanliness of Bathroom Walls

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Bathroom Floors & Drains

  • Rate cleanliness of Bathroom Floors & Drains

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Bathroom Cabinetry/Counter/Mirror

  • Rate cleanliness of Bathroom Cabinetry/Counter/Mirror

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Bathroom Plumbing Fixtures

  • Rate cleanliness of Bathroom Plumbing Fixtures

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Bathroom Dispensers

  • Rate cleanliness of Bathroom Dispensers and other Accessories

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Bathroom Baby Changing Station

  • Rate cleanliness of Bathroom Baby Changing Station

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Are free-standing trash cans in a location that allows uninterrupted access to commodes, grab bars, and dispensers in the restroom?

Break Rooms

  • KEY
    5 - Exceeds Service Expectation
    4 - Meets Specifications
    3 - Marginal Pass
    2 - Service/Rework Required
    1 - Unacceptable

  • Rate Break Room Furniture

  • Rate cleanliness of Break Room Furniture

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Break Room Cabinetry/Counters

  • Rate cleanliness of Break Room Cabinetry/Counters

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Break Room Vinyl Floors<br>

  • Rate Cleanliness of Break Room Vinyl Floors

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Break Room Walls/Baseboards<br>

  • Rate Cleanliness of Break Room Walls/Baseboards

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Break Room Sinks<br>

  • Rate Cleanliness of Break Room Sinks

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Break Room Appliances <br>

  • Rate Cleanliness of Break Room Appliances

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Break Room Trash

  • Rate cleanliness of Trash Can/area around Trash Can

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

Janitorial Closets

  • Rate Janitorial Closets

  • Rate cleanliness and organization of closet.

  • Take a picture of the issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Do all the chemical in the janitorial closet have a SDS and are the sheets easily accessible?

Facility Condition & Operation

General Interior

  • KEY
    5 - Exceeds Service Expectation
    4 - Meets Specifications
    3 - Marginal Pass
    2 - Service/Rework Required
    1 - Unacceptable

  • Rate Carpet

  • Rate the Condition of the Carpet

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Baseboard

  • Rate the Condition of the Baseboards

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Paint

  • Rate the Condition of the Paint

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Art Work/Vinyl/Pinset Letters

  • Rate the Condition of Art Work/Vinyl/Pinset Letters

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Door/Door Hardware

  • Rate the Condition of Door/Door Hardware

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Window & Sills

  • Rate the Condition of Window and Sills

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Shades/Blinds

  • Rate the Condition Shades/Blinds

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Furniture

  • Rate the Condition of Furniture

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Health of Interior Plants

  • Rate Health of Interior Plants

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Lighting

  • Rate the Condition of Lighting and Fixtures

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate HVAC

  • Rate the HVAC Comfort

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

Bathrooms

  • KEY
    5 - Exceeds Service Expectation
    4 - Meets Specifications
    3 - Marginal Pass
    2 - Service/Rework Required
    1 - Unacceptable

  • Rate Cabinetry, Counter Tops and Mirrors

  • Rate Cabinetry, Counter Tops and Mirrors

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Tile Floor/Walls

  • Rate the Condition of Tile Floor/Walls

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Plumbing Fixtures

  • Rate Plumbing Fixtures

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Dispensers

  • Rate Dispenser Operations

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Condition of Baby Changing Station

  • Rate Condition of Baby Changing Station

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

Break Rooms

  • KEY
    5 - Exceeds Service Expectation
    4 - Meets Specifications
    3 - Marginal Pass
    2 - Service/Rework Required
    1 - Unacceptable

  • Rate Vinyl Floors

  • Rate the Condition of Vinyl Floors

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Walls/Paint

  • Rate the Condition of Walls/Paint

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Furniture/Counter/Cabinets

  • Rate the Condition of Furniture/Counter/Cabinets

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Sinks

  • Rate the Condition of Sinks

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

  • Rate Appliances

  • Rate the Condition of Appliances

  • Take a picture of the issue

  • State the issue

  • Is this presenting a safety hazard

Building Exterior - Janitorial & Maintenance

Building Exterior

  • KEY
    5 - Exceeds Service Expectation
    4 - Meets Specifications
    3 - Marginal Pass
    2 - Service/Rework Required
    1 - Unacceptable

  • Rate the Overall Cleanliness

  • Select from range

  • Add media

  • Is this presenting a safety hazard

  • Rate the Landscaping

  • Rate the Landscaping

  • Add media

  • Is this presenting a safety hazard

  • Rate Building Exterior Glass

  • Rate the Condition of Exterior Glass

  • Take a Picture of the Issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Building Exterior Canopies

  • Rate the Condition of Building Canopies

  • Take a Picture of the Issue

  • Describe the issue

  • Is the Issue Presenting a Safety Hazard

  • Rate Exterior Lighting and Signage

  • Rate the Condition of Exterior Lighting and Signage

  • Take a Picture of the Issue

  • Describe the issue

  • Is the Issue Presenting a Safety Hazard

  • Rate Sidewalk Cleanliness

  • Rate Cleanliness of Sidewalks

  • Is the Issue Presenting a Safety Hazard

  • Take a Picture of the Issue

  • Describe the issue

  • Is this presenting a safety hazard

  • Rate Trash Containers

  • Rate condition of Trash Containers

  • Take a Picture of the Issue

  • Describe the issue

  • Is the Issue Presenting a Safety Hazard

  • Rate the Exterior Dumpster Encl.

  • Rate condition of dumpster encl.

  • Add media

  • Is this presenting a safety hazard

  • Does building need to be painted or power washed?

  • Is landscaping well maintained?

  • Rate the Overall Parking Lot Cleanliness/Maintenance

  • Rate the Parking Lot Cleanliness/Maintenance

  • Add media

  • Is this presenting a safety hazard

  • Is parking lot free of trash?

  • Is parking lot striping satisfactory

  • Are wheel stops and curbs in good condition?

  • Any potholes in parking lot

  • Have abandoned cars/vehicles/trailers been removed

Rooftop & Mechanical Systems

  • Is the cooling tower in good Condition?

  • Is this presenting a safety hazard

  • Is cooling tower basin clean and free of debris

  • Is this presenting a safety hazard

  • Are exhaust fans and vents in good condition and clear of any debris?

  • Is this presenting a safety hazard

  • Are the rooftop surfaces and flashing in good shape and free of debris or storage?

  • Is this presenting a safety hazard

  • Are catwalks, stairways and hand rails free of debris

  • Is this presenting a safety hazard

  • Are roof drains clean and free of debris so roof can drain properly? Is there any signs of ponding?

  • Is this presenting a safety hazard

  • Note any unsafe of at risk conditions with the rooftop mechanical systems or roof surface

  • Is this presenting a safety hazard

Mechanical

  • Are chillers operating properly and chiller logs filled out?<br>Note supply and return temperatures for both condenser and chilled water.

  • Is this presenting a safety hazard

  • Check all condenser and chilled water systems for proper operation; motors pumps VFDs, plumbing, insulation, etcCheck .

  • Is this presenting a safety hazard

  • Check hot water supply for proper operation.<br>Plumbing, PVRs, Insulation, etc.

  • Is this presenting a safety hazard

  • Check water treatment equipment for proper operation. Are chemicals labeled and stored properly?

  • Is this presenting a safety hazard

  • Note any unsafe or at risk condition with the mechanical systems.

Air Handler Mechanical Rooms; Note floors inspected

  • Are logs filled out daily?

  • Is this presenting a safety hazard

  • Are VFDs operating properly?

  • Is this presenting a safety hazard

  • Inspected filters?

  • Is this presenting a safety hazard

  • Inspected belts?

  • Is this presenting a safety hazard

  • Are guards in place and do they protect from personal injury?

  • Is this presenting a safety hazard

  • Does the equipment appear to be operating properly with no unusual noise or vibration?

  • Is this presenting a safety hazard

  • Note any unsafe or at risk condition in the air handler mechanical rooms.

Electrical Closets; Note Floors Inspected

  • Does the electrical room appear to be in good condition, with no unusual noise or vibration?

  • Is this presenting a safety hazard

  • Are panels in good condition?

  • Is this presenting a safety hazard

  • Are the transformers and panels free of obstruction?

  • Is this presenting a safety hazard

  • Note any unsafe or at risk condition in the electrical closets.

Switchgear, UPS & Generator

  • Is the switchgear tested on a scheduled basis and are they labeled with the last date tested?

  • Is this presenting a safety hazard

  • Is the UPS system in good operation condition? Check for panel alarms.

  • Rate UPS battery charge

  • Add media

  • Is this Presenting a safety issue

  • Note any unsafe or at risk condition in these areas?

Fire Protection Systems and Controls

  • Is the fire panel inspection current?

  • Is this presenting a safety hazard

  • Is the fire sprinkler inspection current?

  • Is this presenting a safety hazard

  • Is the fire pump inspection current?

  • Is this presenting a safety hazard

  • Is the fire extinguisher inspection current?

  • Is this presenting a safety hazard

  • Is the floor area around all pull stations/fire extinguishers clear within a 4' radius?

  • Is this presenting a safety hazard

  • Note any unsafe or at risk conditions with the fire protection systems.

Other Systems and Areas

  • Is the domestic water pump operating properly? Plumbing, insulation, pump & motor

  • Is this presenting a safety hazard

  • Are back flow preventers inspected annually?

  • Is this presenting a safety hazard

  • Are parts room, storage areas and C&W occupied areas clean and orginized?

  • Is this presenting a safety hazard

  • Note any unsafe or at risk conditions

Overview & Signature

  • Additional Comments or Concerns About the Property

  • Signature of Inspector

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