Company Name:

Select date

Location (room number):



Area Type:

Trash and Recycle Bins, available, emptied, clean?

Surfaces dusted?

Floors vacuumed and free of debris?

Carpet clean of stains, floors clean or scrapes/marks?

Space supplies filled?

General Comments

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.