CAv3

• Document No.

• Completed By:

• Date of Assessment:

  Date

• Contractor/Store

• Type of Facility/Store:

• Store Number:

• Address:
  Address

• Name of Contact/s:

TSL/FSC Questions

• Are fridge cleaning records completed for all relevant activities and reviewed by Contractor management in line with the fridge cleaning rota?

  Pass

  Minor

  Moderate

  Major

• Are the contractor cleaning standards for fridge cleaning and food hall areas as listed in Zone A and food storage areas of the cleaning specification acceptable?

  Pass

  Minor

  Moderate

  Major

• Are the correct cleaning materials, colour coding system and chemicals in use by the contractor in all areas of the store? Are they correctly labelled and held in cleaning contractor designated areas? Is the contractor cleaning equipment left in a clean condition after use?

  Pass

  Minor

  Moderate

  Major

• Are the cold room(s) cleaning standards acceptable and has the cold room(s) been cleaned in accordance with the required frequency?

  Pass

  Minor

  Moderate

  Major

• Are the contractor cleaning standards in Hospitality, ISB and Staff Catering areas acceptable?

  Pass

  Minor

  Moderate

  Major

• Are the correct contractor due diligence cleaning records (for the relevant Hospitality, ISB and Staff Catering units) completed by contractor staff for all items cleaned and are they reviewed by contractor management in line with the cleaning instruction?

  Pass

  Minor

  Moderate

  Major

• Are laundry visits being carried out as part of the specification?

  Pass

  Minor

  Moderate

  Major

TSL/FSC Scoring

• Final score

  1 or more Major

  2 or more Moderate

  1 Moderate

  1-7 Minor

  Pass

Foodhall - Acceptable Cleaning Standards as stated in agreed Cleaning Specification

• Foodhall floor including vacuuming of produce matting

  Pass

  Fail

  N/A

  Not Inspected

• Floor under raised racking

  Pass

  Fail

  N/A

  Not Inspected

• Till points - Belted and High activitity

  Pass

  Fail

  N/A

  Not Inspected

• Foodhall Office and Collect by Car

  Pass

  Fail

  N/A

  Not Inspected

• Refrigeration Units - visual inspection required of unit cleaned within the last 7 days

  Pass

  Fail

  N/A

  Not Inspected

• Are the M&S store staff switching off, pulling out mobiles when applicable, emptying, checking cleaning standards and switching the units back on?

  Yes

  No

  N/A

  Not Inspected

• Is the Ambient cleaning rota being adhered to?

  Yes

  No

  N/A

  Not Inspected

Store wide - Acceptable Cleaning Standards as stated in agreed Cleaning Specification

• Hard and Resilient Flooring

  Pass

  Fail

  N/A

  Not Inspected

• Carpeted Areas

  Pass

  Fail

  N/A

  Not Inspected

• Fitting rooms including flooring, mirrors, vertical surfaces, fixtures and fittings

  Pass

  Fail

  N/A

  Not Inspected

• Textile Till Points

  Pass

  Fail

  N/A

  Not Inspected

• Sales Floor Mirrors

  Pass

  Fail

  N/A

  Not Inspected

• Customer Service Points

  Pass

  Fail

  N/A

  Not Inspected

• Customer Seating Areas

  Pass

  Fail

  N/A

  Not Inspected

• Bureau de Change

  Pass

  Fail

  N/A

  Not Inspected

• M&S Bank

  Pass

  Fail

  N/A

  Not Inspected

• Customer Staircases and Landings

  Pass

  Fail

  N/A

  Not Inspected

• Escalator Treads and Handrails

  Pass

  Fail

  N/A

  Not Inspected

• Customer Lifts including Scenic internally and externally

  Pass

  Fail

  N/A

  Not Inspected

• Fire Extinguishers

  Pass

  Fail

  N/A

  Not Inspected

• Internal Doors

  Pass

  Fail

  N/A

  Not Inspected

• Telephones

  Pass

  Fail

  N/A

  Not Inspected

• Store Entrances

  Pass

  Fail

  N/A

  Not Inspected

• Barrier Matting

  Pass

  Fail

  N/A

  Not Inspected

• External Shop Front

  Pass

  Fail

  N/A

  Not Inspected

• Shop Front Doors

  Pass

  Fail

  N/A

  Not Inspected

• Customer Toilets including Baby Changing Facilities

  Pass

  Fail

  N/A

  Not Inspected

Back of House - Acceptable Cleaning Standards as stated in agreed Cleaning Specification

• Staircases and Landings

  Pass

  Fail

  N/A

  Not Inspected

• Corridors - Carpeted

  Pass

  Fail

  N/A

  Not Inspected

• Corridors - Hard and Resilient Flooring

  Pass

  Fail

  N/A

  Not Inspected

• Staff Locker Rooms including tops of lockers

  Pass

  Fail

  N/A

  Not Inspected

• Male Staff Toilets

  Pass

  Fail

  N/A

  Not Inspected

• Female Staff Toilets

  Pass

  Fail

  N/A

  Not Inspected

• Offices including fixtures, fittings and furniture

  Pass

  Fail

  N/A

  Not Inspected

• Stockrooms

  Pass

  Fail

  N/A

  Not Inspected

• Goods Lift(s)

  Pass

  Fail

  N/A

  Not Inspected

• Training Acedemy

  Pass

  Fail

  N/A

  Not Inspected

Cleaning Contractor

• Is the current Management Structure in place?

  Yes

  No

  N/A

  Not Inspected

• Is the current H&S Policy displayed?

  Yes

  No

  N/A

  Not Inspected

• Is the accident form/contact/procedure displayed?

  Yes

  No

  N/A

  Not Inspected

• Is the Accident book available/being used? Any completed forms in the book?

  Yes

  No

  N/A

  Not Inspected

• Have any RIDDOR reportable accidents been reported correctly and on time?

  Yes

  No

  N/A

  Not Inspected

• Are the COSHH data sheets on site, up to date and relevant for all chemicals per the .....?

  Yes

  No

  N/A

  Not Inspected

• Are the Risk Assessments in site current versions and have he area managers signed them?

  Yes

  No

  N/A

  Not Inspected

• Is the current Employers Liability Insurance displayed?

  Yes

  No

  N/A

  Not Inspected

• Is the current Contract Specification displayed?

  Yes

  No

  N/A

  Not Inspected

• Are the current Contractor Approved Products To Use List/Contractor Approved Problem Solvers/Occasional Use Products List displayed?

  Yes

  No

  N/A

  Not Inspected

• Is the Colour Coding Chart displayed?

  Yes

  No

  N/A

  Not Inspected

• Is the Environmental Policy displayed?

  Yes

  No

  N/A

  Not Inspected

• Are the Area/Regional Managers contact details correct and displayed?

  Yes

  No

  N/A

  Not Inspected

• Are the current A3 Due Diligence Sign Off Sheets displayed on site and in use?

  Yes

  No

  N/A

  Not Inspected

• Is Certificate of Insurance up to date?

  Yes

  No

  N/A

  Not Inspected

• Do all cleaning operatives have completed ad up to date traing records? (must be refreshed every 12 months)

  Yes

  No

  N/A

  Not Inspected

• Is there an up to date training matrix available?

  Yes

  No

  N/A

  Not Inspected

• Are the Site File contents up to date?

  Yes

  No

  N/A

  Not Inspected

• Are all operatives wearing correct uniforms and ID badges?

  Yes

  No

  N/A

  Not Inspected

• Is all machinery in a well maintained and acceptable condition?

  Yes

  No

  N/A

  Not Inspected

• Is all machinery PAT tested to statutory requirements?

  Yes

  No

  N/A

  Not Inspected

• Is the Cleaning Compound(s) clean and tidy?

  Yes

  No

  N/A

  Not Inspected

Washroom Services

• What type and quantity of mats are held by the store?

• Are the mats located in the correct areas as per guidelines?

  Yes

  No

  N/A

  Not Inspected

• Are the mat exchanges made regularly as per the contract schedule?

  Yes

  No

  N/A

  Not Inspected

• Does the number of feminine hygiene units match the contract schedule?

  Yes

  No

  N/A

  Not Inspected

• Are the correct number of feminine hygiene exchanges made regularly as per the contract schedule?

  Yes

  No

  N/A

  Not Inspected

• Are the feminine hygiene units located correctly as per M&S guidelines?

  Yes

  No

  N/A

  Not Inspected

• Does the number of nappy bins match the contract schedule?

  Yes

  No

  N/A

  Not Inspected

• Are the correct number of nappy bins exchanges made regularly as per the contract schedule?

  Yes

  No

  N/A

  Not Inspected

• Are the allocated nappy bins correctly located as per M&S guidelines?

  Yes

  No

  N/A

  Not Inspected

• Does the number of air fresheners match the contract schedule?

  Yes

  No

  N/A

  Not Inspected

• Are the air fresheners located in customer toilets only as per the M&S guidelines?

  Yes

  No

  N/A

  Not Inspected

• Are the correct number of air freshener checks made regularly as per the contract schedule?

  Yes

  No

  N/A

  Not Inspected

• Is the store satisfied with the service they receive from Mayflower Washrooms?

  Yes

  No

  N/A

  Not Inspected

Laundry Services

• Is the laundry collected weekly as per the contract schedule?

  Yes

  No

  N/A

  Not Inspected

• Are the correct amount of uniforms collected and returned each week?

  Yes

  No

  N/A

  Not Inspected

• Is the store satisfied with the laundry cleaning service?

  Yes

  No

  N/A

  Not Inspected

Window Cleaning

• Is the store satisfied with the window closing service provided?

  Yes

  No

  N/A

  Not Inspected

• Are the window cleaners wearing uniforms and photographic ID?

  Yes

  No

  N/A

  Not Inspected

• Are the relevant SSOW skilled in Section 8 of the Site File?

  Yes

  No

  N/A

  Not Inspected

Periodic Cleaning

• Is the store satisfied with the standards of their Periodic Cleaning?

  Yes

  No

  N/A

  Not Inspected

• Do the Periodic cleaning teams wear the correct uniform and have photographic ID?

  Yes

  No

  N/A

  Not Inspected

• Are the relevant SSOW filled in Section 9 of the Site File?

  Yes

  No

  N/A

  Not Inspected

Clean As You Go (CAYG)

• Is Clean As You Go being carried out?

  Yes

  No

  N/A

  Not Inspected