Information
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Document No.
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Site
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Conducted on
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Prepared by
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Attendees
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Location
1.0 - Washrooms
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1.1 - Floors
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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1.2 - Walls, Glass Partitions, Doors
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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1.3 - Basins, Counters, Fixtures, Mirrors
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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1.4 - Toilets, Urinals
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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1.5 - Showers
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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Cleaning Score Criteria
5 - Significantly Exceeds all service specification standards/expectations
4 - Exceeds all service specification standards/expectations
3 - Meets all service specification standards
2 - Improvement Required to meet service specification standards
1 - Significant Improvement Required to meet service specification standards
0 - No Evidence of cleaning being completed
2.0 - Office / Customer Areas / Meeting Rooms
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2.1 - Floors
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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2.2 - Walls, Glass Partitions, Doors
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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2.3 - Sills, Ledges, Skirtings
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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2.4 - Furniture and Fittings
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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Cleaning Score Criteria
5 - Significantly Exceeds all service specification standards/expectations
4 - Exceeds all service specification standards/expectations
3 - Meets all service specification standards
2 - Improvement Required to meet service specification standards
1 - Significant Improvement Required to meet service specification standards
0 - No Evidence of cleaning being completed
3.0 - Kitchens / Tea Rooms / Break Outs
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3.1 - Floors
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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3.2 - Walls, Glass Partitions, Doors
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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3.3 - Furniture and fittings
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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3.4 - White Goods, Vending Machines, Microwaves
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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3.5 - Sinks, Tiles, Splashbacks
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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Cleaning Score Criteria
5 - Significantly Exceeds all service specification standards/expectations
4 - Exceeds all service specification standards/expectations
3 - Meets all service specification standards
2 - Improvement Required to meet service specification standards
1 - Significant Improvement Required to meet service specification standards
0 - No Evidence of cleaning being completed
4.0 - Entrance Lobbies / Foyers
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4.1 - Floors
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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4.2 - Walls, Glass Partitions, Doors
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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4.3 - Sills, Ledges, Skirtings
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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4.4 - Furniture and fittings
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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4.5 - Lift Cars, Escalators
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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4.6 - Staircases
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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Cleaning Score Criteria
5 - Significantly Exceeds all service specification standards/expectations
4 - Exceeds all service specification standards/expectations
3 - Meets all service specification standards
2 - Improvement Required to meet service specification standards
1 - Significant Improvement Required to meet service specification standards
0 - No Evidence of cleaning being completed
5.0 - External Areas / Other
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5.1 - Walkways
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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5.2 - Removal of Debris, Litter
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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5.3 - Walls, Under Roof, Eaves
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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5.4 - Entry Doors and Glazing
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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5.5 - ATM
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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5.6 - Carparks, Loading Docks
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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5.7 - Firestairs / Signage
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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5.8 - Waste
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Cleaning Score (Select Value)
- 0 - No Evidence
- 1 - Significant Improvement Requried
- 2 - Improvement Required
- 3 - Meets
- 4 - Exceeds
- 5 - Significantly Exceeds
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
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Cleaning Score Criteria
5 - Significantly Exceeds all service specification standards/expectations
4 - Exceeds all service specification standards/expectations
3 - Meets all service specification standards
2 - Improvement Required to meet service specification standards
1 - Significant Improvement Required to meet service specification standards
0 - No Evidence of cleaning being completed
6.0 - Storage / Equipment
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6.1 - MSDS available, equipment tag current, storage neat & tidy
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Remedial Action / Comments (must comment if score less than 3)
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Add photographic evidence as necessary
General Comments
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General comments relating to the cleaning quality of the premises
Signatures
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Service Provider representative
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Jones Lang LaSalle representative
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QANTAS representative