Information

  • New-Hire Training

  • Quality/Competency Inspection

  • Custodian's Name (Last, First)

  • Area/Building Inspected:

  • Facility:

  • Site/Project:

  • Prepared by:

  • Conducted on

  • Document No.

INFORMATION

  • 1-Poor 2-Fair 3-Good 4-Excellent N/A-Not Applicable

CLEANING PROCEDURES

  • Filling Buckets?

  • Knowing the Right Chemicals?

  • Filling Spray Bottles?

  • Use of Custodial Cart?

  • Dust Mopping Offices & Hallways?

  • Cleaning Sinks?

  • Dusting Surfaces?

  • Damp Mopping Floors?

  • Cleaning Sinks?

  • Cleaning Toilets / Urinals?

  • Use of Bowl Cleaner?

  • Refilling Soap Dispenser?

  • Refilling Paper Towel Dispenser?

  • Refilling Tissue Dispenser?

  • Replace Urinal Fresheners/Screens?

  • Removal of Garbage?

  • Cleaning Countertops?

  • Buffing & Shining Floors?

  • Stripping & Waxing Floors?

  • Washing Walls?

  • Cleaning Microwaves & Stoves?

  • Cleaning Refrigerators?

  • Cleaning Equipment after Use?

  • Operating Floor Scrubbers?

  • Procedure for Replacing Mop Head?

  • Procedure of Cleaning Mirrors/Glass?

  • Returning Tools/Equipment to Custodial Closet after Job is Complete?

SAFETY PROCEDURES

  • Aware of the Life Saving / Zero Tolerance Rules?

  • 1. When in Doubt.... Ask!

  • 2. Works Must Report Fit-For-Duty!

  • 3. All Incidents Must be Reported IMMEDIATELY!

  • 4. Management of Change (MOC) must be followed!

  • 5. Conduct a Hazard Assessment / FLRA prior to Starting any Job!

  • 6. Wear Adequate/Required PPE!

  • 7. Always use the Right Tool/Equipment for the Job!

  • 8. Only Designated / Trained workers are allowed to Operate Machinery / Equipment!

  • 9. Obey posted Speed Limits and Driver Distraction Laws!

  • 10. Wear Seatbelt's when Vehicle is in motion!

  • 11. Back-In Procedure Must be followed!

  • No Loose-Fitting clothing or Jewellery!

  • Wearing the proper/required PPE for the Task?

  • Safety with Mop Wringer?

  • Storing Supplies in Custodial Closet?

  • Proper Lifting Procedures?

  • Proper use of "Wet Floor" Signs?

  • Proper Reporting procedures for Incidents?

  • MSDS Location & Availability?

EMERGENCY PROCEDURES

  • Do Not Leave Cleaning Supplies in Washcars.

  • Do Not Leave Chemicals in Toilets / Urinals after Cleaning.

  • Cellphones Not to be Used during Work Hours.

  • Walkmans & Headsets are Not to be Used during Working Hours.

  • Flagging/Tagging when Stripping & Waxing Floors.

GENERAL PROCEDURES

  • Wearing of ID Tags?

  • Coffee / Lunch Break Schedule?

  • Swiping In / Out?

  • Do Not Leave the Working Area without Notifying Supervisor/Foreman.

  • When you Need Assistance, Ask your Supervisor/Foreman.

  • Contact your Supervisor/Foreman when Unable to Report to Work'

Signatures

  • Additional Comments:

  • Employee:

  • Supervisor / Foreman:

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.