Information

  • Document No.

  • Supervisor

  • Client / Site / Building

  • Conducted on

  • On-site Supervisor

  • Personnel

  • Location

Restrooms

  • Doors

  • Floor's and edges

  • Toilet bowls / Seats

  • High dusting / Partitios

  • Urinals

  • Mirrors

  • Sinks

  • Walls

  • Dispensers Stocked

  • Bins emptied, reclined & cleaned

  • A/C vents and return vents

Office Areas

  • Carpets vacuumed / Spot cleaned

  • Hard floors and edges

  • Desks / Cubicles dusted

  • Internal glass panels

  • Windows and ledges

  • High-Dusting

  • Low-Dusting

  • Skirting boards

  • Doors and handles

  • Walls

  • Cobwebs

  • Bins emptied, reclined & cleaned

Kitchen/Staff Rooms

  • Sinks, benches

  • Tables & chairs

  • Floor surface

  • Internal of microwave

  • Internal of fridge

  • Walls

  • Windows and ledges

  • Bins emptied, reclined & cleaned

Supply Closet / Safety

  • Closet Clean

  • Closet Neat & Organized

  • Equipment Condition

  • MSDS booklet on site

  • Chemicals stored correctly

  • Equipment is tested and tagged

CLEANING COMMENTS / COMPLAINTS / OTHER SOFT SERVICE ISSUES IDENTIFIED

  • Clients signature

  • Overall building is?

  • CBMC 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.