Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • QA Inspection Report - what score was achieved? (Use the lowest score submitted)

  • Was the QA score above 85%?

  • Were all Consumables and Equipment Orders placed with at least 1 weeks' notice?

  • What the Communication Diary used appropriately on site?

  • Is the cleaning room / trolley / bucket / equipment transport tidy and clean?

  • Are the cleaning cloths clean and appropriately colour coded (not cross-contaminated)?

  • Is the cleaner exceptionally presented (including uniform, shoes, hair, makeup)?

  • Are the chemicals being diluted, used and labelled correctly?

  • Is the cleaner using safe work practices?

  • Has the cleaner received any unprovoked compliments and NOT received any unprovoked complaints?

  • Did Cleanworks retain all contracts that this cleaner was assigned to? i.e., there was no unacceptable behaviour or performance issues that led to client termination

  • Did the cleaner adhere to the Cleanworks Code of Conduct? i.e., no written warnings were issued

  • Did the cleaner reply to all emails and phone calls on the same day?

  • Has the cleaner submitted current test n tag details for all electrical equipment every 6 months?

  • Has the cleaner demonstrated exceptional team effort and helpfulness?

  • Did the cleaner identify a periodical or additional service that the client proceeded with?

  • Did the cleaner refer a new team member who stayed with Cleanworks for at least 3 months?

  • Has the cleaner assisted Cleanworks Management with a Special Request?

  • Did the cleaner report an incident or near miss using the Cleanworks Incident Report Form within 24 hours?

  • Did the cleaner report a hazard using the Cleanworks Hazard Report Form within 24 hours?

  • How many shifts did the cleaner cover without receiving a complaint?

  • Did the cleaner submit a current corporate headshot for the Cleanworks Wall of Fame and the Team Member Introduction Form (1 new photo per quarter)? (Must be wearing uniform)

  • Did the cleaner provide all compliance documentation on time and in date?

  • Did the cleaner attend the Cleanworks office based training session (1 per quarter)?

  • Did the cleaner submit their Timesheets / Job Sheets / Invoices on time and accurately?

  • Did the cleaner receive any positive feedback from the client (via inspection or phone call)?

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. You should independently determine whether the template is suitable for your circumstances.