CWS Janitorial RTW Verification Checklist

• Date/Time

  Date

• Inspector Name

• Manager Name

• Site
  Address

• Area/Floor

• Disinfectant/Dwell Time

• Disinfectant/Dwell Time

• Disinfectant/Dwell Time

RTW Cleaning and Disinfecting

• *All janitorial staff must complete HSSE required training and janitorial general procedures training prior to resuming any cleaning tasks.
  *All staff must have appropriate PPE prior to completing any cleaning tasks within the facility.
  *All janitorial staff must have appropriate tools, materials and equipment prior to performing any cleaning tasks.
  *All janitorial staff returning to complete the RTW cleaning shall sanitize all cleaning materials, tools, carts upon arrival.

Janitorial Tools and PPE Disposal

• 1) If tools are shared, they shall be damp wiped with disinfectant after use.
  2)  Launder/sanitize maintenance-PPE (gowns, coats, hard hats, etc.) that were left exposed during shutdowns.
  3) PPE Disposal.
  4) Review with HSSE program for specific measures on PPE disposal specifically if completing (Level 3).
  5) Clean and disinfect janitorial storage area noting the high touch points for employees.
  6) Disinfect high touch points within janitorial office area (if applicable).
  7) Mobile technology for site-specific communication (tablets, cameras, Radios, etc.).
  8) Please review site-specifications for appliance cleaning.

• Empty trash and recycle containers and return canisters to original location

  Yes

  No

  N/A

• Replace trash liners, check for spills within the interior and exterior of container

  Yes

  No

  N/A

• Apply solution into cloth and wipe trash receptacle exterior and interior

  Yes

  No

  N/A

• Clean top and underside of swing lid on garbage receptacles

  Yes

  No

  N/A

• Dust area from high to low

  Yes

  No

  N/A

• Clean sink ( for stainless steel sinks, once sink and basin have been cleaned, wipe dry with microfiber cloth to eliminate streaks)

  Yes

  No

  N/A

• Clean all surfaces, tables, cabinet doors and frames, interior walls, light switches and partition windows

  Yes

  No

  N/A

• Apply disinfectant to microfiber cloth folded into four. Disinfect areas from high to low

  Yes

  No

  N/A

• Disinfect light switches

  Yes

  No

  N/A

• Disinfect door handles and push plates

  Yes

  No

  N/A

• Disinfect counters and table tops

  Yes

  No

  N/A

• Disinfect and kickplates

  Yes

  No

  N/A

• Damp wipe shelving, window sills, cabinet doors, handles and cubbies

  Yes

  No

  N/A

• Clean refrigerators, dispose of unlabeled food, wipe down shelves, drawers and exterior

  Yes

  No

  N/A

• Damp wipe vending machine glass/ and key pad

  Yes

  No

  N/A

• Clean ovens and other appliances

  Yes

  No

  N/A

• Clean exterior other appliances

  Yes

  No

  N/A

• Disinfect high touch buttons within appliances, please review site specifications on appliances for cleaning

  Yes

  No

  N/A

• Damp wipe and dry counters, doors, chairs, tables, including table bases. Escalate any stubborn stains

  Yes

  No

  N/A

• Remove nitrile gloves, perform hand hygiene. Replace consumables (i.e. Paper Towels, Hand Soap, Disinfectant)

  Yes

  No

  N/A

• Sweep and mop floors using approved neutral cleaner

  Yes

  No

  N/A

• Vacuum break area carpeted floors

  Yes

  No

  N/A

• Clean ceiling vents

  Yes

  No

  N/A

• Clean Glass Light Fixtures

  Yes

  No

  N/A

• Remove trash and waste from the restroom

  Yes

  No

  N/A

• Replace liners or sanitary napkin bags as needed.

  Yes

  No

  N/A

• Dust lights, partitions, partition hinges, tops of dispensers, and restroom mirrors.

  Yes

  No

  N/A

• Apply disinfectant to microfiber cloth folded into four. Disinfect areas from high to low

  Yes

  No

  N/A

• Disinfect light switches

  Yes

  No

  N/A

• Disinfect door handles

  Yes

  No

  N/A

• Disinfect door pushplates (both sides)

  Yes

  No

  N/A

• Clean and polish restroom dispensers, receptacles and sinks to remove any spots or streaks

  Yes

  No

  N/A

• Using approved disinfectant wipe down baby changing tables if applicable , clean all sides and straps.

  Yes

  No

  N/A

• Spot clean partitions, walls and inside entry door with disinfectant.

  Yes

  No

  N/A

• Disinfect restroom tile walls, fixtures, partitions, toilets/urinals, partitions. Ensure disinfectant is applied and review dwell time. Ensure when using microfiber using the four-fold method.

  Yes

  No

  N/A

• Thoroughly apply disinfectant to walls surrounding toilets, apply solution on both sides of the toilet seat and flush handle allow chemical to stand.

  Yes

  No

  N/A

• Clean urinals by applying disinfectant around urinal and walls surrounding and let stand, use brush to clean interior. Thoroughly clean interior and exterior of toilets and urinals

  Yes

  No

  N/A

• Remove nitrile gloves, perform hand hygiene. Replace consumables (i.e. Paper Towels, Hand Soap, Toilet Paper, Feminine products)

  Yes

  No

  N/A

• Check dispenser functionality and restock paper products and hand soap as needed.

  Yes

  No

  N/A

• Restock all sanitary napkins and tampon dispensers as needed

  Yes

  No

  N/A

• Use approved soap scum remover on all shower surfaces and mats as needed.

  Yes

  No

  N/A

• Mop floors with neutral floor cleaner taking care to clean under/around fixtures.

  Yes

  No

  N/A

• Sweep and mop entire floor, cleaning spots and debris

  Yes

  No

  N/A

• Empty trash and recycle, place receptacles back to original location

  Yes

  No

  N/A

• Replace trash and recycle liners

  Yes

  No

  N/A

• Wipe down top and underside of swing lid on garbage receptacles

  Yes

  No

  N/A

• Dust shelves, blinds, tops of cabinets and appliances

  Yes

  No

  N/A

• Apply chemical to microfiber and damp wipe sinks, please note stainless steel fixtures may require specific stainless steel chemical and need to be dry wiped after cleaning

  Yes

  No

  N/A

• Clean and polish stainless steel sinks

  Yes

  No

  N/A

• Apply disinfectant to microfiber cloth folded into four. Disinfect areas from high to low; light switches, push plates, counters, table tops, door handles, backs of chairs and kickplates

  Yes

  No

  N/A

• Clean refrigerators

  Yes

  No

  N/A

• Perform hand hygiene and replenish consumables i.e. paper towels, hand soap and disinfectant

  Yes

  No

  N/A

• Deliver mothers room consumables (i.e. Cavicide, alcohol wipes, dish soap)

  Yes

  No

  N/A

• Check soap levels in dispensers and refill as necessary

  Yes

  No

  N/A

• Sweep and mop floors using approved neutral cleaner

  Yes

  No

  N/A

• Spot clean tables and credenzas

  Yes

  No

  N/A

• Clean whiteboard removing all writing; clean whiteboard trays

  Yes

  No

  N/A

• Dust area from high to low including chairs, table legs, behind monitors

  Yes

  No

  N/A

• Place approved disinfectant into cloth and clean tables, doors and frames, credenzas, interior walls, and light switches

  Yes

  No

  N/A

• Disinfect high touch surfaces such as table surfaces, cabinet tops. Once chemical has been applied to surfaces allow chemical to dwell. Wipe down surfaces using the four ways ensuring once surface is wiped to rotate to ensure cross contamination does not occur.

  Yes

  No

  N/A

• Vacuum conference room carpeted flooring

  Yes

  No

  N/A

• Replace and re-set furniture

  Yes

  No

  N/A

• Empty trash cans and return to original location

  Yes

  No

  N/A

• Clean interior of trash cabinets

  Yes

  No

  N/A

• Replace trash liners

  Yes

  No

  N/A

• Restock conference room amenities (i.e. hand sanitizer, hand sanitizer wipes, tissues)

  Yes

  No

  N/A

• Empty trash cans and return to original position

  Yes

  No

  N/A

• Replace trash liners and return canister to original position

  Yes

  No

  N/A

• Dust main entry furniture including ledges

  Yes

  No

  N/A

• With approved disinfectant place chemical into microfiber and wipe down high touch areas such as lobby counters, tables and arrange magazines in an orderly fashion.

  Yes

  No

  N/A

• Disinfect of high touch surfaces desks, table surfaces, cabinet tops.

  Yes

  No

  N/A

• Vacuum carpets and/or sweep and mop hard floors using approved cleaner

  Yes

  No

  N/A

• Fold microfiber into fours and place approved glass cleaner into cloth clean main entry/lobby doors, glass barriers at kiosks and windows, leaving no streaks or residue

  Yes

  No

  N/A

• Remove exterior trash from canisters outside of lobby

  Yes

  No

  N/A

• Wipe exterior furniture placed on patios

  Yes

  No

  N/A

• Remove trash and recycle and return trash containers to original position

  Yes

  No

  N/A

• Using microfiber duster dust office area from high to low

  Yes

  No

  N/A

• Using approved disinfectant, wipe down open desks, tables, surfaces within the office area.

  Yes

  No

  N/A

• Disinfect high touch surface such as desks, table surfaces, cabinet tops.

  Yes

  No

  N/A

• Vacuum office floors

  Yes

  No

  N/A

• Note any burned out lights, needed repairs or safety issues in communication log

  Yes

  No

  N/A

• Spot clean uncommon messes (e.g. Hole punch spill)

  Yes

  No

  N/A

• Clean and polish metal surfaces within exterior and interior of elevator doors, frames and call buttons

  Yes

  No

  N/A

• Place approved disinfectant into folded microfiber cloth and wipe rails, call buttons, and high touch points

  Yes

  No

  N/A

• Sweep and mop elevator floor

  Yes

  No

  N/A

• Remove trash and recycle and return trash containers to original position

  Yes

  No

  N/A

• Dust Shelving including ledges and window sills

  Yes

  No

  N/A

• Apply chemical into cloth and wipe café tables, bases, chairs and seats

  Yes

  No

  N/A

• Disinfect of high touch surfaces, ensure chemical has been applied to surfaces, allow chemical to dwell.

  Yes

  No

  N/A

• Disinfect dining chairs (front, back and legs)

  Yes

  No

  N/A

• Disinfect doors (front and back)

  Yes

  No

  N/A

• Wipe down café door entryways and glass doors

  Yes

  No

  N/A

• Stock Supplies

  Yes

  No

  N/A

• Clean Drains

  Yes

  No

  N/A

• Sweep and mop café dining floor using approved neutral floor cleaner

  Yes

  No

  N/A

• Vacuum all kitchen and servery floors

  Yes

  No

  N/A

• Sweep and mop docks leading to café areas

  Yes

  No

  N/A

• Remove trash and recycle and return trash containers to original position

  Yes

  No

  N/A

• Dust from high to low hallway signage, hallway window sills, frames and posters

  Yes

  No

  N/A

• Using approved disinfectant, wipe down open hand rails, stairway door knobs and/or push plates (both sides ).

  Yes

  No

  N/A

• Night cleaning - Perform disinfection of high touch surfaces nightly using manual method and electrostatic sprays/foggers to apply disinfectant from high to low ensuring hand rails, walls stairway doors are cleaned

  Yes

  No

  N/A

• Dust mail stops

  Yes

  No

  N/A

• Spot mop floors and stairwells, with approved neutral cleaner, as needed.

  Yes

  No

  N/A

• Sweep, mop and/or vacuum all stairwells and landings

  Yes

  No

  N/A

• Maintain high dusting in utility area

  Yes

  No

  N/A

• Maintain cleanliness of lighting fixtures

  Yes

  No

  N/A

• Maintain cleanliness of the building entrances remove leaves, trash and debris

  Yes

  No

  N/A

• Using approved cleaner wipe down open seating, tables and chairs within the exterior the building

  Yes

  No

  N/A

• Police building entries, exterior patio areas and smoking areas of cigarette butts and other debris. Empty or change ashtrays as necessary

  Yes

  No

  N/A

• Sweep entrance to building

  Yes

  No

  N/A

• Disinfect cleaning tools, equipment and janitorial cart and materials after use.

  Yes

  No

  N/A

• Inventory janitor cart and stock

  Yes

  No

  N/A

• Ensure janitorial sinks are clean and debris free after use

  Yes

  No

  N/A

• Return all cleaning equipment to proper storage position

  Yes

  No

  N/A

• Maintain floor and cleanliness

  Yes

  No

  N/A

• Place microfiber cloths into collection areas for laundering and rinse and maintain mops as instructed by management

  Yes

  No

  N/A

• Report any maintenace issues to management/supervisor

  Yes

  No

  N/A