Centre House Belfast

• Document No.

• Client / Site

• Conducted on

  Date

• Robinson Services Representative

• Client Representative

Toilets: are the following areas in satisfactory condition?

• Pedistal & Cistern

  Yes

  No

  N/A

• Bowls

  Yes

  No

  N/A

• Urinals

  Yes

  No

  N/A

• Partitions & Doors

  Yes

  No

  N/A

• Sinks

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Fixtures & Fittings

  Yes

  No

  N/A

• Vending Machines

  Yes

  No

  N/A

• Hard Floors

  Yes

  No

  N/A

Stairs: are the following areas in satisfactory condition?

• Hard Floors /Carpeted areas

  Yes

  No

  N/A

• Hand Rails

  Yes

  No

  N/A

Corridors: are the following areas in satisfactory condition?

• Bins

  Yes

  No

  N/A

• Carpeted Areas

  Yes

  No

  N/A

• Hard Floor

  Yes

  No

  N/A

• Doors, Ledges, Kickboards, Skirtings etc.

  Yes

  No

  N/A

Miscellaneous: are the following in satisfactory condition?

• Cleaning Cupboard

  Yes

  No

  N/A

• Robinson Services Signature

  Sign

• Client Signature

  Sign

Uniform

• Are staff in full uniform?

  yes

  no