Title Page

  • Conducted on

  • Prepared by

Site Details

  • Client Location / Building

  • Please confirm Location on Map
  • Name of PSS Representative

  • Name of Client - If Present

RAMS / Equipment and Training

  • All Equipment Fit for Purpose - Well Maintained & In Good Working Order

  • Please confirm ALL Items have been PAT Tested

  • Please take a photo of PAT Test Label

  • Site File Updated

  • Please take a photo of the Escalation Contact Details

Resource Management

  • Contracted Hours Supplied as Per Contract

  • Cleaners using Ezitracker or signing in correctly

  • Communication Book In Use and located at Reception

  • Please supply a Photo to Evidence the tasks

Service Delivery

  • Reception - Clean to Specification

  • Corridors - Clean to Specification

  • Meeting Rooms - Clean to Specification

  • BC Suites - Clean to Specification

  • Toilets Male - Clean to Specification

  • Toilets Female - Clean to Specification

  • Disabled Toilet - Clean to Specification

  • Kitchens / Toilets - Clean to Specification

  • Stairwells - Clean to Specification

  • Staff Offices - Clean to Specification

  • Hard Floors - Clean to Specification

  • Carpets - Clean to Specification

  • Dusting (High and Low Level) - Clean to Specification

  • Please Supply pictures where allowed to evidence standards of cleaning.

Client Liaison

  • Attendance by PSS Manager at Monthly Review Meetings - If Daisy are available

  • Effective communication & Pro Active notification of changes to service delivery requirements - reporting of Holiday Cover / Absent / Sickness Etc, and Cover Solutions

Service Delivery Management

  • Staff Appearance - All Staff in correct Uniform

  • Evidence of Check Records - Daily / Weekly Sign Off Sheet

  • Additional Suppliers - Washroom, Windows Etc - Supplied to Standard

  • Water Flushing Records - Evidenced and Completed

  • Please Supply Photo of most recent Water Flushing Record

  • Stock Record Sheet - Evidenced and Completed

  • Please Supply Photo of most recent Stock Level Form

Media - Additional Pictures if Required

  • Please Supply Additional Pictures If Required

KPI Sign Off

  • Please Supply Actions and Comments of Agreed Actions

  • Daisy Client Signature:

  • PSS Representative Signature:

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.