Clean Authority

• Cleaning Inspection

• Client/Site

• Conducted On

  Date

• Prepared By

• Location
  Address

• Personnel

1.0 - Previous inspection

• 1.1 - Is the most recent site inspection available on site?

  Yes

  No

  N/A

• 1.2 - Are there no outstanding actions?

  Yes

  No

  N/A

2.0 - Staff Training

• 2.1 - Have all cleaners completed relevant site induction?

  Yes

  No

  N/A

• 2.2 - Have all cleaners been site specific <br>trained and aware of all company policies <br>and procedures and all company <br>personnel?

  Yes

  No

  N/A

3.0 - Cleaner's Room

• 3.1 - Is there a current site information kit on site?

  Yes

  No

  N/A

• 3.2 - Are the current cleaning specifications on site up to date?

  Yes

  No

  N/A

• 3.3 - Is a current MSDS available for all chemicals on site?

  Yes

  No

  N/A

• 3.4 - Is there a designated cleaner's room?

  Yes

  No

  N/A

• 3.5 - Is shelving available for cleaning products?

  Yes

  No

  N/A

• 3.6 - Is there adequate ventilation and lighting?

  Yes

  No

  N/A

• 3.7 - Have all obsolete items been removed?

  Yes

  No

  N/A

• 3.8 - Is all machinery within current "test and tag" date?

  Yes

  No

  N/A

• 3.9 - Is the cleaner's room neat and tidy?

  Yes

  No

  N/A

• 3.10 - Is the attendance book being used correctly?

  Yes

  No

  N/A

• 3.11 - Is there an up to date first aid kit?

  Yes

  No

  N/A

4.0 - Toilet Areas

• 4.1 - Floors clean?

  Yes

  No

  N/A

• 4.2 - Walls clean?

  Yes

  No

  N/A

• 4.3 - Partitions and doors clean?

  Yes

  No

  N/A

• 4.4 - Basins, fittings and mirrors clean?

  Yes

  No

  N/A

• 4.5 - Toilet bowls, seats, lids and urinals clean?

  Yes

  No

  N/A

• 4.6 - Shower area clean?

  Yes

  No

  N/A

• 4.7 - Grills, drains and vents clean?

  Yes

  No

  N/A

• 4.8 - All hand soap, hand towel and toilet paper dispensers clean and replenished

  Yes

  No

  N/A

• 4.9 - Rubbish bins emptied?

  Yes

  No

  N/A

• 4.10 - Sills, ledges and windows clean?

  Yes

  No

  N/A

5.0 - Office Areas

• 5.1 - Bins emptied and liners replaced?

  Yes

  No

  N/A

• 5.2 - Window sills and ledges clean?

  Yes

  No

  N/A

• 5.3 - Walls and doors clean?

  Yes

  No

  N/A

• 5.4 - Glass, partitions and windows clean?

  Yes

  No

  N/A

• 5.5 - Carpets and floor clean?

  Yes

  No

  N/A

• 5.6 - Air conditioning diffusers and vents clean?

  Yes

  No

  N/A

• 5.7 - Furniture, desks and cabinets clean?

  Yes

  No

  N/A

6.0 - Kitchen Area

• 6.1 - Bins emptied and rubbish removed?

  Yes

  No

  N/A

• 6.2 - Carpets and hard flooring clean?

  Yes

  No

  N/A

• 6.3 - Walls and doors clean?

  Yes

  No

  N/A

• 6.4 - Glass and window ledges clean?

  Yes

  No

  N/A

• 6.5 - Appliances and table tops clean?

  Yes

  No

  N/A

• 6.6 - Sinks and bench tops clean?

  Yes

  No

  N/A

7.0 - Common/Public Areas

• 7.1 - Carpets clean?

  Yes

  No

  N/A

• 7.2 - Hard floors clean?

  Yes

  No

  N/A

• 7.3 - Lifts and escalators clean?

  Yes

  No

  N/A

• 7.4 - Internal stairs clean?

  Yes

  No

  N/A

• 7.5 - Rubbish removal, debris and litter free ?

  Yes

  No

  N/A

• 7.6 - Sills and ledges clean?

  Yes

  No

  N/A

• 7.7 - Walls and doors clean?

  Yes

  No

  N/A

• 7.8 - Glass and windows clean?

  Yes

  No

  N/A

• 7.9 - Air conditioning vents and grills clean?

  Yes

  No

  N/A

8.0 - External Areas

• 8.1 - Walkways and paved areas clean?

  Yes

  No

  N/A

• 8.2 - Walls clean?

  Yes

  No

  N/A

• 8.3 - Sills and ledges clean?

  Yes

  No

  N/A

• 8.4 - Carpark and garden bed areas clean?

  Yes

  No

  N/A

• 8.5 - Rubbish removal, debris and litter free?

  Yes

  No

  N/A

9.0 - Maintenance (not related to cleaning)

• 9.1 - Cleaner's room OK

  Safe

  At Risk

  N/A

• 9.2 - Toilet areas OK

  Safe

  At Risk

  N/A

• 9.3 - Office areas OK

  Safe

  At Risk

  N/A

• 9.4 - Common areas OK

  Safe

  At Risk

  N/A

• 9.5 - External areas OK

  Safe

  At Risk

  N/A

• Client signature

  Sign

• Clean Authority Manager Signature

  Sign