Cleaning Inspection NTNS FACILITY SERVICES

• Audit Title

• Client / Site

• Conducted on

  Date

• Document No.

• Prepared by

• Location
  Address

• Personnel

Exterior and Entry Areas

• Dumpster areas and exterior trash / ash receptacles litter free and clean?

  Yes

  No

  N/A

• Exterior Entry area, thresholds, vestibule flooring and walk off mats clean and presentable?

  Yes

  No

  N/A

• Glass doors clean?

  Yes

  No

  N/A

• Carpeting clean and in acceptable condition?

  Yes

  No

  N/A

• Hard floors clean, free of water mopping spots?

  Yes

  No

  N/A

• Vertical surfaces, corners, baseboards clean and free of cobwebs?

  Yes

  No

  N/A

• Lobby Furniture / tables / security desk / files clean, free from smudges and toe marks?

  Yes

  No

  N/A

• Low and high Dusting acceptable?

  Yes

  No

  N/A

• Rate area cleanliness on a scale of 1 - 10

Restrooms Toilet Amenities

• Sinks, drains, dispensers, and counters clean - <br>Including chrome fixtures?

  Yes

  No

  N/A

• Check box if counters have permanent stains or water damage and are ready for replacement

• Under counter drain piping free from excessive dust?

  Yes

  No

  N/A

• Mirrors clean?

  Yes

  No

  N/A

• Paper towels, Soap, seat covers, sanitary napkins, and Toilet paper stocked?

  Yes

  No

  N/A

• Check box if it appears we are not getting 100% usage

• Partitions clean and graffiti free and other Vertical wall surfaces clean (including grout if applicable)?

  Yes

  No

  N/A

• Floors clean and presentable (including grout)?

  Yes

  No

  N/A

• Toilet fixtures and shower clean inside and out, shut off valves clean and leak free, and dispenser surfaces clean?

  Yes

  No

  N/A

• Air Vents and registers clean and free from dust?

  Yes

  No

  N/A

• Bins - liners in place, surfaces clean and presentable?

  Yes

  No

  N/A

• Check box if receptacle capacity seems insufficient

• Floor drains clean and odor free?

  Yes

  No

  N/A

• Rate restroom area cleanliness on a scale of 1 - 10

Corridors / stairs / elevators

• Flooring condition acceptable?

  Yes

  No

  N/A

• Doors, Handrails, drinking fountains, etc... wiped down and clean?

  Yes

  No

  N/A

• Baseboards, corners, vertical surfaces clean?

  Yes

  No

  N/A

• High and vent dusting in good condition?

  Yes

  No

  N/A

• Any damage noticed due to janitorial carts or staff?

  Yes

  No

  N/A

• Elevator doors, floor track, handrails, buttons, lights and ceiling vents clean and polished as needed?

  Yes

  No

  N/A

• Water fountains clean and polished?

  Yes

  No

  N/A

Kitchens and Canteen

Are fridges up to hygiene standards?

• Are food prep area counters and floors clean and presentable?

  Yes

  No

  N/A

• Are kitchen exhaust hoods grease free and clean?

  Yes

  No

  N/A

• Dish machine area acceptable?

  Yes

  No

  N/A

• All floors clean - open areas, around, and under equipment?

  Yes

  No

  N/A

• Vertical walls clean, free of grease and dust?

  Yes

  No

  N/A

• Ceilings and vents clean and dust free?

  Yes

  No

  N/A

• Are microwave s up yo hygiene standards?

  Yes

  No

  N/A

• Rate kitchen area cleanliness on a scale of 1 - 10

• Dining or Seating area Table tops / counters clean?

  Yes

  No

  N/A

• Equipment and appliances provided for Employees clean inside and out? (coffee makers / vending / ice / ovens / microwaves / refrigerators / etc.)

  Yes

  No

  N/A

• Coffee station area clean? (Counters, sinks, flooring, etc...)

  Yes

  No

  N/A

• Vending area clean? Including top and underneath machines?

  Yes

  No

  N/A

• Any other comments?

General Office Areas

• Furniture / cabinets / window ledges / horizontal surfaces dust free (or acceptable)?

  Yes

  No

  N/A

• Edges, Baseboards, corners, and vertical surfaces clean?

  Yes

  No

  N/A

• Equipment (PC's, Copiers, Fire extinguishers, etc...) being dusted sufficiently?

  Yes

  No

  N/A

• Bins being emptied per schedule and liner bags clean and dry?

  Yes

  No

  N/A

• Conference / Meeting room areas clean? (Table fingerprints or marks, white boards, wall switches, floor/ chairs/furniture)

  Yes

  No

  N/A

• Carpet - cubicle and office areas acceptable?

  Yes

  No

  N/A

• Carpet - traffic lanes acceptable?

  Yes

  No

  N/A

• Hard floors clean, with adequate sealer/wax?

  Yes

  No

  N/A

• High and vent dusting in good condition?

  Yes

  No

  N/A

• Vacant areas cleaned and prepped for new occupants?

  Yes

  No

  N/A

Restricted or Secured office areas

• Furniture / cabinets / window ledges / horizontal surfaces dust free (or acceptable)?

  Yes

  No

  N/A

• Edges, Baseboards, corners, and vertical surfaces clean?

  Yes

  No

  N/A

• Equipment (PC's, Copiers, Fire extinguishers, etc...) being dusted sufficiently?

  Yes

  No

  N/A

• Trash cans being emptied per schedule and liner bags clean and dry?

  Yes

  No

  N/A

• Conference / Meeting room areas clean? (Table fingerprints or marks, white boards, wall switches, floor/ chairs/furniture)

  Yes

  No

  N/A

• Carpet - cubicle and office areas acceptable?

  Yes

  No

  N/A

• Carpet - traffic lanes acceptable?

  Yes

  No

  N/A

• Hard floors clean, with adequate sealer/wax?

  Yes

  No

  N/A

• High and vent dusting in good condition?

  Yes

  No

  N/A

• Other areas

  Yes

  No

  N/A

Senior Management Offices

• Board room or Executive meeting areas clean? (Table fingerprints or marks, white boards, wall switches, floor/ chairs/furniture, catering areas)

  Yes

  No

  N/A

• Furniture / cabinets / window ledges / horizontal surfaces dust free (or acceptable)?

  Yes

  No

  N/A

• Edges, Baseboards, corners, and vertical surfaces clean?

  Yes

  No

  N/A

• Equipment (PC's, Copiers, Fire extinguishers, etc...) being dusted sufficiently?

  Yes

  No

  N/A

• Trash cans being emptied per schedule and liner bags clean and dry?

  Yes

  No

  N/A

• Carpet - cubicle and office areas acceptable?

  Yes

  No

  N/A

• High, Vertical surfaces, and vent dusting in good condition?

  Yes

  No

  N/A

Cleaning Storage Area

• Loading dock/delivery areas clean and free of food/trash/clutter?

  Yes

  No

  N/A

• Storage areas, mop sinks, supplies, and equipment clean and in good repair- all being properly stored?

  Yes

  No

  N/A

• Equipment has grounded plugs and cords in good condition? Minimal use of extension cords?

  Yes

  No

  N/A

• Hazard labels and warnings on chemical containers- proper concentration / dispensing of chemicals?

  Yes

  No

  N/A

• MSDS available to their staff as well as provided to Facilities (and entered into our NTNS FACILITY SERVICES IMS database)?

  Safe

  At Risk

  N/A

• Staff appearance and uniforms in use and presentable

  Yes

  No

  N/A

Authorization signatures

• Facilities Representative signature

  Sign

• NTNS FACILITY SERVICES Representative Signature

  Sign