CCS Inspection Form

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Men's Toilets

• Floor's and edges

  Yes

  No

  N/A

• Toilet bowls, seats, urinals & cisterns

  Yes

  No

  N/A

• Doors

  Yes

  No

  N/A

• High dusting of cubicles

  Yes

  No

  N/A

• Consumables

  Yes

  No

  N/A

• Windows, ledges, grills

  Yes

  No

  N/A

• Benches, sinks, cupboards, etc

  Yes

  No

  N/A

• Showers

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Grout on tiles

  Yes

  No

  N/A

• Cobwebs

  Yes

  No

  N/A

• Bins emptied, reclined & cleaned

  Yes

  No

  N/A

Ladies Toilets

• Floor's and edges

  Yes

  No

  N/A

• Toilet bowls, seats, urinals & cisterns

  Yes

  No

  N/A

• Doors

  Yes

  No

  N/A

• High dusting of cubicles

  Yes

  No

  N/A

• Consumables

  Yes

  No

  N/A

• Windows, ledges, grills

  Yes

  No

  N/A

• Benches, sinks, cupboards, etc

  Yes

  No

  N/A

• Showers

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Grout on tiles

  Yes

  No

  N/A

• Cobwebs

  Yes

  No

  N/A

• Bins emptied, reclined & cleaned

  Yes

  No

  N/A

Office areas

• Carpets vacuumed and spot cleaned

  Yes

  No

  N/A

• Hard floors and edges

  Yes

  No

  N/A

• Desks & shelves etc ( where cleared )

  Yes

  No

  N/A

• Computers, screens etc

  Yes

  No

  N/A

• Phones

  Yes

  No

  N/A

• Internal glass panels

  Yes

  No

  N/A

• Windows and ledges

  Yes

  No

  N/A

• Dusting high

  Yes

  No

  N/A

• Dusting low

  Yes

  No

  N/A

• Skirting boards

  Yes

  No

  N/A

• A/C vents and return vents

  Yes

  No

  N/A

• Doors and handles

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Cobwebs

  Yes

  No

  N/A

• Bins emptied, reclined & cleaned

  Yes

  No

  N/A

Kitchen/Staff Rooms

• Sinks, benches

  Yes

  No

  N/A

• Tables & chairs

  Yes

  No

  N/A

• Floor surface

  Yes

  No

  N/A

• External of white goods

  Yes

  No

  N/A

• Internal of microwave

  Yes

  No

  N/A

• Internal of fridge

  Yes

  No

  N/A

• Washing dishes

  Yes

  No

  N/A

• Washing tea towels

  Yes

  No

  N/A

• Load / unload dishwasher

  Yes

  No

  N/A

• A/C vents and return vents

  Yes

  No

  N/A

• Dusting high

  Yes

  No

  N/A

• Dusting low

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Windows and ledges

  Yes

  No

  N/A

• Cobwebs

  Yes

  No

  N/A

• Bins emptied, reclined & cleaned

  Yes

  No

  N/A

Common Area

• Carpets vacuumed and spot cleaned

  Yes

  No

  N/A

• Hard floors & edges

  Yes

  No

  N/A

• Glass partitions

  Yes

  No

  N/A

• Counters, desks & ledges

  Yes

  No

  N/A

• Signs

  Yes

  No

  N/A

• Dusting high

  Yes

  No

  N/A

• Dusting low

  Yes

  No

  N/A

• A/C vents and return vents

  Yes

  No

  N/A

• Stairs, fire stairs, lifts etc

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Cobwebs

  Yes

  No

  N/A

• Bins emptied, reclined & cleaned

  Yes

  No

  N/A

External Area

• Glass entry doors

  Yes

  No

  N/A

• Glass shop front

  Yes

  No

  N/A

• Spot clean walls

  Yes

  No

  N/A

• Paved areas

  Yes

  No

  N/A

• Smokers areas

  Yes

  No

  N/A

• Hard floor areas

  Yes

  No

  N/A

• Balcony

  Yes

  No

  N/A

• Furniture

  Yes

  No

  N/A

• Balcony glass

  Yes

  No

  N/A

• Car park / general external

  Yes

  No

  N/A

• Rubbish incl. garden beds

  Yes

  No

  N/A

• Sinks and troughs

  Yes

  No

  N/A

• Bins emptied, reclined & cleaned

  Yes

  No

  N/A

Safety

• Equipment condition

  Safe

  At Risk

  N/A

• MSDS booklet on site

  Yes

  No

  N/A

• Chemicals used on correct surfaces

  Yes

  No

  N/A

• Chemicals stored correctly

  Safe

  At Risk

  N/A

• Equipment is tested and tagged

  Yes

  No

  N/A

Security

• Security maintained

  Yes

  No

  N/A

Other

• Minimize business disruption

  Yes

  No

  N/A

• Communications book is in place & used

  Yes

  No

  N/A

• Cleaners area clean and tidy

  Yes

  No

  N/A

Action Plan Requirement

• All Previous Action Plan Completed?

  Yes

  No

  N/A

• Action Plan Required For This Audit?

  Yes

  No

  N/A

• Date of Action Plan to be Completed

  Date

CLEANING COMMENTS / COMPLAINTS / OTHER SOFT SERVICE ISSUES IDENTIFIED

• Clients signature

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• Corporate Cleaning Services representative signature

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