CTRM Flooring Inspection Report

• Microzone leader name

• Zone / Location
  Address

• Conducted on

  Date

• Inspector Name

• Floor category

  Critical

  Medium

  Low

• Type of flooring

  Select Concrete Polyutherane (PU) Tiles Vinyl Epoxy mortar Carpet Others

  • Concrete
  • Polyutherane (PU)
  • Tiles
  • Vinyl
  • Epoxy mortar
  • Carpet
  • Others

• Cleaning date

  Date

• Area coverage (sqm)

• Cleaning activity

  Select Scrapping (manual) Scrubbing Polishing Waxing Vacuum Mopping

  • Scrapping (manual)
  • Scrubbing
  • Polishing
  • Waxing
  • Vacuum
  • Mopping

• 1) Cleanliness : free from contamination

  Perfect

  OK

  Not OK

• Please select root cause

  Select Equipment Equipment consumable Man Floor condition (require repair) Method Others

  • Equipment
  • Equipment consumable
  • Man
  • Floor condition (require repair)
  • Method
  • Others

• 2) Cleanliness : free from stain

  Perfect

  OK

  Not OK

• Please select root cause

  Select Equipment Equipment consumable Man Floor condition (require repair) Method Others

  • Equipment
  • Equipment consumable
  • Man
  • Floor condition (require repair)
  • Method
  • Others

• 3) Shine

  Perfect

  OK

  Not OK

• Please select root cause

  Select Equipment Equipment consumable Man Floor condition (require repair) Method Others

  • Equipment
  • Equipment consumable
  • Man
  • Floor condition (require repair)
  • Method
  • Others

• 4) Equipment satisfactory to user

  Perfect

  OK

  Not OK

• Please stated your unsatisfied experience to the equipment

• Photo Before

  Media

• Photo After

  Media

• Inspector's Comment

User Satisfaction

• Equipment handling

• Result of floor maintenance

• Any comment (please state)

• User Signature

  Sign

• Inspectors Signature

  Sign