1.0 - Washrooms

  • 1.1 - Floors

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 1.2 - Walls, Glass Partitions, Doors

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 1.3 - Basins, Counters, Fixtures, Mirrors

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 1.4 - Toilets, Urinals

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 1.5 - Showers

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 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

  • 2.1 - Floors

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 2.2 - Walls, Glass Partitions, Doors

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 2.3 - Sills, Ledges, Skirtings

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 2.4 - Furniture and Fittings

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 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

  • 3.1 - Floors

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 3.2 - Walls, Glass Partitions, Doors

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 3.3 - Furniture and fittings

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 3.4 - White Goods, Vending Machines, Microwaves

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 3.5 - Sinks, Tiles, Splashbacks

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 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

  • 4.1 - Floors

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 4.2 - Walls, Glass Partitions, Doors

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 4.3 - Sills, Ledges, Skirtings

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 4.4 - Furniture and fittings

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 4.5 - Lift Cars, Escalators

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 4.6 - Staircases

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 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

  • 5.1 - Walkways

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 5.2 - Removal of Debris, Litter

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 5.3 - Walls, Under Roof, Eaves

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 5.4 - Entry Doors and Glazing

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 5.5 - ATM

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 5.6 - Carparks, Loading Docks

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 5.7 - Firestairs / Signage

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 5.8 - Waste

  • Cleaning Score (Select Value)

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

  • 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

  • 6.1 - MSDS available, equipment tag current, storage neat & tidy

  • Remedial Action / Comments (must comment if score less than 3)

  • Add photographic evidence as necessary

General Comments

  • General comments relating to the cleaning quality of the premises

Signatures

  • Service Provider representative

  • Jones Lang LaSalle representative

  • QANTAS representative

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.