Information

  • Document No.

  • Site

  • Conducted on

  • Prepared by

  • Attendees

  • Location

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

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