CERNA Cleaning Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

CERNA Cleaning Inspection

• Prepared by

• Document No

• Conducted on

  Date

• Attendees

• Score

  Pass

  Fail

  N/A

• Completed on

  Date

External Areas

• Inspected building exterior location

  Yes

  No

  N/A

• External glass (including shop fronts)

  Yes

  No

  N/A

• Entries and exits (including paved areas)

  Yes

  No

  N/A

• Balustrades, hand rails, awnings

  Yes

  No

  N/A

• Stainless needs attention

  Yes

  No

  N/A

• Light diffusers, covers, exit lights

  Yes

  No

  N/A

• Wall and column surfaces

  Yes

  No

  N/A

• Graffiti

  Yes

  No

  N/A

• Signage and directory boards

  Yes

  No

  N/A

• Cobwebs

  Yes

  No

  N/A

• Overall appearance

  Yes

  No

  N/A

Centre management

• Floor surfaces and floor mats

  Yes

  No

  N/A

• Light switches

  Yes

  No

  N/A

• Window sills, ledges and skirting

  Yes

  No

  N/A

• Furniture (desks and working surfaces)

  Yes

  No

  N/A

• Glass

  Yes

  No

  N/A

• Doors and door jambs

  Yes

  No

  N/A

• Walls and partitions

  Yes

  No

  N/A

• Tea preparation area/kitchenette

  Yes

  No

  N/A

• Rubbish bins

  Yes

  No

  N/A

• Overall appearance

  Yes

  No

  N/A

Car parks, garden beds

Basement

• Rubbish removed

  Yes

  No

  N/A

• Entry points and foyers

  Yes

  No

  N/A

• Drains and gutters cleared

  Yes

  No

  N/A

• Kerbs

  Yes

  No

  N/A

• Swept

  Yes

  No

  N/A

• Fittings

  Yes

  No

  N/A

• Seating

  Yes

  No

  N/A

• Overall appearance

  Yes

  No

  N/A

Building interior

• Inspected building interior location

  Yes

  No

  N/A

• Floor surfaces

  Yes

  No

  N/A

• Skirtings and edges

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Escalators, travelators and lifts

  Yes

  No

  N/A

• Light fittings and power points

  Yes

  No

  N/A

• Ceilings

  Yes

  No

  N/A

• Internal columns

  Yes

  No

  N/A

• Glass surfaces

  Yes

  No

  N/A

• Planters

  Yes

  No

  N/A

• Furniture

  Yes

  No

  N/A

• Shop fronts

  Yes

  No

  N/A

• Rubbish bins

  Yes

  No

  N/A

• ATMs, public phones, vending machines

  Yes

  No

  N/A

• Internal directories

  Yes

  No

  N/A

• Kiddy rides

  Yes

  No

  N/A

• Vents, inlets and outlets

  Yes

  No

  N/A

• Overall appearance

  Yes

  No

  N/A

Toilets - male

• Inspected male toilets location

  Yes

  No

  N/A

• Benches/vanities clean

  Yes

  No

  N/A

• Toilet bowls

  Yes

  No

  N/A

• Urinals

  Yes

  No

  N/A

• Rubbish bins

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Hand basins

  Yes

  No

  N/A

• Floor drains

  Yes

  No

  N/A

• Surfaces (including tops of cubicles)

  Yes

  No

  N/A

• Dryers and dispensers

  Yes

  No

  N/A

• Graffiti

  Yes

  No

  N/A

• Floor surfaces and floor mats

  Yes

  No

  N/A

• Light switches

  Yes

  No

  N/A

• Doors and kick plates

  Yes

  No

  N/A

• Toilet requisite supply level

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Vents

  Yes

  No

  N/A

• Overall appearance

  Yes

  No

  N/A

Toilets - female

• Inspected female toilets location

  Yes

  No

  N/A

• Floor drains

  Yes

  No

  N/A

• Benches/vanities clean

  Yes

  No

  N/A

• Toilet bowls

  Yes

  No

  N/A

• Surfaces (including tops of cubicles)

  Yes

  No

  N/A

• Rubbish bins

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Dryers and dispensers

  Yes

  No

  N/A

• Hand basins

  Yes

  No

  N/A

• Graffiti

  Yes

  No

  N/A

• Floor surfaces and floor mats

  Yes

  No

  N/A

• Light switches

  Yes

  No

  N/A

• Toilet requisite supply level

  Yes

  No

  N/A

• Doors and kick plates

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Vents

  Yes

  No

  N/A

• Overall appearance

  Yes

  No

  N/A

Parents Room

• Inspected parents room location

  Yes

  No

  N/A

• Surfaces (including tops of cubicles)

  Yes

  No

  N/A

• Benches/vanities clean

  Yes

  No

  N/A

• Furniture (chairs etc)

  Yes

  No

  N/A

• Change tables

  Yes

  No

  N/A

• Toilet bowls

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Hand basins

  Yes

  No

  N/A

• Rubbish bins

  Yes

  No

  N/A

• Floor drains

  Yes

  No

  N/A

• Dryers and dispensers

  Yes

  No

  N/A

• Graffiti

  Yes

  No

  N/A

• Floor surfaces and floor mats

  Yes

  No

  N/A

• Light switches

  Yes

  No

  N/A

• Doors and kick plates

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Vents

  Yes

  No

  N/A

• Toilet requisite supply level

  Yes

  No

  N/A

• Overall appearance

  Yes

  No

  N/A

Toilets - Disabled

• Inspected disabled toilet location

  Yes

  No

  N/A

• Benches/vanities clean

  Yes

  No

  N/A

• Toilet bowls

  Yes

  No

  N/A

• Rubbish bins

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Surfaces (including tops of cubicles)

  Yes

  No

  N/A

• Hand basins

  Yes

  No

  N/A

• Floor drains

  Yes

  No

  N/A

• Floor surfaces and floor mats

  Yes

  No

  N/A

• Dryers and dispensers

  Yes

  No

  N/A

• Graffiti

  Yes

  No

  N/A

• Light switches

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Doors and kick plates

  Yes

  No

  N/A

• Toilet requisite supply level

  Yes

  No

  N/A

• Vents

  Yes

  No

  N/A

• Overall appearance

  Yes

  No

  N/A

Staff toilets

• Inspected staff toilet location

  Yes

  No

  N/A

• Benches/vanities clean

  Yes

  No

  N/A

• Toilet bowls

  Yes

  No

  N/A

• Urinals

  Yes

  No

  N/A

• Rubbish bins

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Hand basins

  Yes

  No

  N/A

• Floor drains

  Yes

  No

  N/A

• Surfaces (including tops of cubicles)

  Yes

  No

  N/A

• Weekly inspection Oasis

  Yes

  No

  N/A

• Dryers and dispensers

  Yes

  No

  N/A

• Graffiti

  Yes

  No

  N/A

• Floor surfaces and floor mats

  Yes

  No

  N/A

• Light switches

  Yes

  No

  N/A

• Doors and kick plates

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Ceiling

  Yes

  No

  N/A

• Vents

  Yes

  No

  N/A

• Toilet requisite supply level

  Yes

  No

  N/A

• Overall appearance

  Yes

  No

  N/A

Fire Stairs / Corridors

• Fire cupboards

  Yes

  No

  N/A

• Hand rails

  Yes

  No

  N/A

• Rubbish

  Yes

  No

  N/A

• Light fittings

  Yes

  No

  N/A

• Stairs and risers

  Yes

  No

  N/A

• Service corridors, fire escapes, service cupboards

  Yes

  No

  N/A

• Inspected service corridor location

  Yes

  No

  N/A

• Ground level

  Yes

  No

  N/A

• Doors

  Yes

  No

  N/A

• Overall appearance

  Yes

  No

  N/A

Loading/unloading area

• Inspected loading dock location

  Yes

  No

  N/A

• Rubbish and bin rooms

  Yes

  No

  N/A

• Roller shutters and doors

  Yes

  No

  N/A

• Overall appearance

  Yes

  No

  N/A

• Loading docks, rubbish bin rooms

  Yes

  No

  N/A

Cleaners room

• Inspected cleaners room location

  Yes

  No

  N/A

• Neat and tidy

  Yes

  No

  N/A

• Chemicals stored correctly

  Yes

  No

  N/A

• Testing and tagging register up to date

  Yes

  No

  N/A

• MSDS in place

  Yes

  No

  N/A

• Spill kits in place

  Yes

  No

  N/A

• Overall appearance

  Yes

  No

  N/A

Staff Service

• Staff are well dressed and groomed

  Yes

  No

  N/A

• Staff courtesy

  Yes

  No

  N/A

• Staff adherence to code of conduct

  Yes

  No

  N/A

General issues

• Issue

Assessors signatures

• Client

• Date & Time

  Date

• Contractor Representatives

• Date & Time

  Date

• Score

  Pass

  Fail

  N/A