Custodial Quality Assurance Check

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Surfaces clean and Sanitized

  Yes

  No

  N/A

• Stalls Clean and Sanatized

  Yes

  No

  N/A

• Mirrors clean

  Yes

  No

  N/A

• Trash receptacles empty or not overflowing

  Yes

  No

  N/A

• Floor clear of debris

  Yes

  No

  N/A

• Restroom is in safe conditon

  Yes

  No

  N/A

Hallways

• Clear of debris or clutter

  Yes

  No

  N/A

• Carpets clean and vacumed

  Yes

  No

  N/A

• Baseboard clean

  Yes

  No

  N/A

• Window seals clean and dusted

  Yes

  No

  N/A

• HVAC vent free of visible dust

  Yes

  No

  N/A

Breakrooms

• Countertops and surfaces clean

  Yes

  No

  N/A

• Sinks and faucets clean with not build up of residue

  Yes

  No

  N/A

• Floors clean and clear of debris or clutter

  Yes

  No

  N/A

• Safety concerns or hazards

  Yes

  No

  N/A

• Yes

  No

  N/A

Stairwells and Elevators

• Rails clean and sanitized

  Yes

  No

  N/A

• Metal polished and clean

  Yes

  No

  N/A

• Floor clear and free of debris or clutter

  Yes

  No

  N/A

• Safety concerns or hazards

  Yes

  No

  N/A

Offices

• Surfaces dusted

  Yes

  No

  N/A

• Window seals clean and dusted

  Yes

  No

  N/A

• Floors clear of debris and clutter

  Yes

  No

  N/A

• HVAC Vents dusted and free of visible debris

  Yes

  No

  N/A

• Safety concerns or hazards

  Yes

  No

  N/A

Lobby and/or Entryways

• Floor clear of debris and clutter

  Yes

  No

  N/A

• Interior/Exterior waste receptacles emptied and not overflowing

  Yes

  No

  N/A

• Windows/Glass cleaned and spot free

  Yes

  No

  N/A

• Walk off mats vacummed

  Yes

  No

  N/A

• Area free of visible dust

  Yes

  No

  N/A

• HVAC vents free of visuals dust

  Yes

  No

  N/A

• Safety concerns or hazards

  Yes

  No

  N/A

Custodial Closets

• Chemicals organized and bottles labeled

  Yes

  No

  N/A

• Paper product stored properly (Above Chemicals)

  Yes

  No

  N/A

• Tools stored properly and organized

  Yes

  No

  N/A

• Clear of debris and clutter

  Yes

  No

  N/A

• Safety concerns or hazards

  Yes

  No

  N/A