Information
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New-Hire Training
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Quality/Competency Inspection
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Custodian's Name (Last, First)
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Area/Building Inspected:
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Facility:
- Administration
- Change/Locker Room
- Lunchroom
- Washcar
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Site/Project:
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Prepared by:
- April Cunningham
- Candice
- Cody Mantyka
- Claudette Swaren-Cre
- Elise
- Rebeca McDonald
- Roni-Sue Moran
- Steve Jani
- Wally
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Conducted on
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Document No.
INFORMATION
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1-Poor 2-Fair 3-Good 4-Excellent N/A-Not Applicable
CLEANING PROCEDURES
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Filling Buckets?
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Knowing the Right Chemicals?
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Filling Spray Bottles?
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Use of Custodial Cart?
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Dust Mopping Offices & Hallways?
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Cleaning Sinks?
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Dusting Surfaces?
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Damp Mopping Floors?
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Cleaning Sinks?
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Cleaning Toilets / Urinals?
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Use of Bowl Cleaner?
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Refilling Soap Dispenser?
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Refilling Paper Towel Dispenser?
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Refilling Tissue Dispenser?
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Replace Urinal Fresheners/Screens?
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Removal of Garbage?
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Cleaning Countertops?
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Buffing & Shining Floors?
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Stripping & Waxing Floors?
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Washing Walls?
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Cleaning Microwaves & Stoves?
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Cleaning Refrigerators?
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Cleaning Equipment after Use?
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Operating Floor Scrubbers?
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Procedure for Replacing Mop Head?
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Procedure of Cleaning Mirrors/Glass?
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Returning Tools/Equipment to Custodial Closet after Job is Complete?
SAFETY PROCEDURES
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Aware of the Life Saving / Zero Tolerance Rules?
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1. When in Doubt.... Ask!
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2. Works Must Report Fit-For-Duty!
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3. All Incidents Must be Reported IMMEDIATELY!
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4. Management of Change (MOC) must be followed!
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5. Conduct a Hazard Assessment / FLRA prior to Starting any Job!
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6. Wear Adequate/Required PPE!
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7. Always use the Right Tool/Equipment for the Job!
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8. Only Designated / Trained workers are allowed to Operate Machinery / Equipment!
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9. Obey posted Speed Limits and Driver Distraction Laws!
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10. Wear Seatbelt's when Vehicle is in motion!
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11. Back-In Procedure Must be followed!
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No Loose-Fitting clothing or Jewellery!
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Wearing the proper/required PPE for the Task?
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Safety with Mop Wringer?
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Storing Supplies in Custodial Closet?
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Proper Lifting Procedures?
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Proper use of "Wet Floor" Signs?
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Proper Reporting procedures for Incidents?
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MSDS Location & Availability?
EMERGENCY PROCEDURES
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Do Not Leave Cleaning Supplies in Washcars.
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Do Not Leave Chemicals in Toilets / Urinals after Cleaning.
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Cellphones Not to be Used during Work Hours.
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Walkmans & Headsets are Not to be Used during Working Hours.
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Flagging/Tagging when Stripping & Waxing Floors.
GENERAL PROCEDURES
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Wearing of ID Tags?
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Coffee / Lunch Break Schedule?
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Swiping In / Out?
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Do Not Leave the Working Area without Notifying Supervisor/Foreman.
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When you Need Assistance, Ask your Supervisor/Foreman.
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Contact your Supervisor/Foreman when Unable to Report to Work'
Signatures
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Additional Comments:
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Employee:
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Supervisor / Foreman: