Information
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
Lobby Area
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Is entry area glass display wiped clean?
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Is entryway floor surface clean?
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Is entryway floor surface safe to walk on? (Dry, level, zero cracks, free from objects that would be a trip hazard etc...)
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Are walls dirt and smudge free?
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Is any bright work polished and smudge free?
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Kick plates on all doors polished and smudge free?
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All corners dust and debris free?
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Are the baseboards clean?
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Are overhead and wall vents clean?
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Are all light fixtures dust free and clean?
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Are all light bulbs lit?
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Are all signs / artwork straight and clean?
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Spider webs been removed from windows, corners, furniture, walls?
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Is all furniture clean?
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Is there dust in high level areas?
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Is there dust in medium level areas?
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Is there dust in low level areas?
Common Area Corridors
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Are carpets thoroughly vacuumed and free of dust, dirt, or debris?
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Corners dust and debris free?
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Walls dirt and smudge free?
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Bright work polished and smudge free?
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Kick plates on all doors polished and smudge free?
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Spider webs been removed from windows, corners, furniture, walls?
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Are tables clean?
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Are task chairs clean?
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Is there dust in high level areas?
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Is there dust in medium level areas?
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Is there dust in low level areas?
Stairwells
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Are all the stair treads present and in good repair with no loose trim or other components?
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Are all the lights in the stairwell functional?
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Are the stairwells clean and dry?
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Are the stairwells odor free?
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Are the stairs free of any objects both on top and below them that could present a trip or fire hazard? (boxes of paper goods, brooms, mops, pens, pencils, rags etc...)
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Are all EXIT signs present and lit?
Elevators / Escalators
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Are door tracks to elevators free of dust, dirt, or debris?
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Are cab walls dirt and smudge free?
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Is all bright work (stainless steel) polished and smudge free?
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All corners dust and debris free?
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Lights and covers present and functional?
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Is there litter above ceiling grid?
Executive Area
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Is entry area glass display wiped clean?
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Is entry carpet clean?
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Are walls dirt and smudge free?
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Is any bright work polished and smudge free?
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Kick plates on all doors polished and smudge free?
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All corners dust and debris free?
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Are the baseboards clean?
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Are overhead and wall vents clean?
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Are all light fixtures dust free and clean?
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Are all signs / artwork straight and clean?
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Spider webs been removed from windows, corners, furniture, walls?
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Are task chairs clean?
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Refrigerator clean and defrosted?
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Are tables clean?
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Is there dust in high level areas?
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Is there dust in medium level areas?
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Is there dust in low level areas?
Men’s Restrooms
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Are entry and exit doors wiped clean inside and out?
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Kick plates on door (inside and out) polished and smudge free?
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Are floors clean and dry?
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Base of toilet(s) clean and dry?
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Corners free of dirt and debris?
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Walls and baseboards dirt and smudge free?
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All bright work polished and smudge free?
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Is there adequate toilet tissue (1 full roll minimum) in the toilet stall(s)?
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Underside of the toilet seat clean?
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All vents clean?
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Stall walls, door, and top edges clean and dust free?
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Hand sinks faucets clean? (check for hard water build up)
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Are dispensers stocked with soap or paper products?
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Is floor under wash sink(s) clean and dry?
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Is the area directly under the soap dispenser clean and soap free?
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Are trashcan(s) large enough?
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Is there an extra trash liner?
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Is the mirror dust, streak and smudge free?
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Are work orders called in for any broken or missing items?
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Soap dispensers are full and functional?
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Is there dust in medium level areas?
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Is there dust in high level areas?
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Is there dust in low level areas?
Women's Restrooms
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Are entry and exit doors wiped clean inside and out?
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Kick plates on door (inside and out) polished and smudge free?
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Are floors clean and dry?
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Base of toilet(s) clean and dry?
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Corners dirt and debris free?
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Walls and baseboards dirt and smudge free?
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All bright work polished and smudge free?
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Is there adequate toilet tissue (1 full roll minimum) in the toilet stall(s)?
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Underside of the toilet seat clean?
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All vents clean?
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Stall walls, door, and top edges clean and dust free?
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Hand sinks faucets clean? (check for hard water build up)
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Are dispensers stocked with soap or paper products?
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Is floor under wash sink(s) clean and dry?
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Is the area directly under the soap dispenser clean and soap free?
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Are trashcan(s) overfull?
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All vents clean?
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Stall walls, door, and top edges clean and dust free?
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Is the mirror dust, streak and smudge free?
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Are work orders called in for any broken or missing items?
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Is feminine napkin dispenser working?
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Is feminine napkin disposal container clean and does it have a liner?
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Is there dust in high level areas?
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Is there dust in medium level areas?
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Is there dust in low level areas?
Office / Cubicle Areas
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Is entry door glass wiped clean inside and out?
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Is entry carpet clean?
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Are walls dirt and smudge free?
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Is any bright work polished and smudge free?
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Kick plates on all doors polished and smudge free?
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All corners dust and debris free?
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Are the baseboards clean?
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Are overhead and wall vents clean?
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Are the walls smudge free and clean?
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Are all light fixtures dust free and clean?
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Are all signs / artwork straight and clean?
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Spider webs been removed from windows, corners, furniture, walls?
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Cubicle wall tops dust free?
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Is the general appearance of the room (area) clean?
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Is there dust in high level areas?
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Is there dust in medium level areas?
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Is there dust in low level areas?
Conference Rooms
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Are entry way doors clean and or polished and door jambs clean?
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Is the floor vacuumed and free of dust and/or debris?
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Are the walls clean and free of smudge marks?
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Have all the trashcans been emptied as required?
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Are all trash can liners in good condition?
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Have carpet spots been removed as required?
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Are all the ceiling or wall vents and diffusers clean?
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Is the conference room table(s) clean and polished?
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Are all the conference room chairs clean?
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Are the window sills and blinds clean?
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Are whiteboards clean?
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Is the overall appearance of the room clean and ready for a meeting?
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Is there dust in high level areas?
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Is there dust in medium level areas?
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Is there dust in low level areas?
Vending / Break Room Areas
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Are microwaves clean and functional?
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Are walls clean, smudge, and dust free?
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Bright work and sinks wiped clean and smudge free?
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Countertop and cabinets clean and smudge free?
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Corners of countertop dust and debris free?
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Are cleaning chemicals present and properly stored and labeled?
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Are coffee machines and/or air pots clean?
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Floor clean, mopped and streak free, or vacuumed with all spots removed?
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Corners clean and free of debris and dust?
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Are paper towels stocked?
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Are refrigerators clean w/proper signage?
Cafeteria / Dining Room Area
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Are serving areas clean and functional?
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Are walls clean, smudge, and dust free?
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Bright work and sinks wiped clean and smudge free?
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Are the countertops, tables and chairs clean and smudge free?
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Corners of countertop dust and debris free?
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Is carpeting spot free?
Fitness Center
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Exercise equipment clean?
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Are entry and exit doors wiped clean inside and out?
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Kick plates on door (inside and out) polished and smudge free?
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Are floors clean and dry?
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Base of toilet(s) clean and dry?
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Corners dirt and debris free?
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Walls and baseboards dirt and smudge free?
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All bright work polished and smudge free?
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Hand sinks faucets clean? (check for hard water build up)
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Soap dispensers are full and functional?
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Are dispensers stocked with soap or paper products?
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Is there adequate toilet tissue (1 full roll minimum) in the toilet stall(s)?
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Is the area directly under the soap dispenser clean and soap free?
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Is floor under wash sink(s) clean and dry?
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All vents clean?
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Stall walls, door, and top edges clean and dust free?
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Are showers clean and free of mold?
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Do trashcan(s) have adequate capacity?
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Is the mirror dust, streak and smudge free?
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Are work orders called in for any broken or missing items?
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Is feminine napkin dispenser working?
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Is feminine napkin disposal container clean and does it have a liner?
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Is there dust in high level areas?
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Is there dust in medium level areas?
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Is there dust in low level areas?
Housekeeping Closets
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Are the chemical storage containers labeled properly?
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Are cleaning chemicals stored in a neat and orderly manner?
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Are storage shelves organized and neat?
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Are goggles and rubber gloves evident?
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Is there a functional eyewash station with unimpeded access within 10 feet of any chemical mixing stations?
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Is equipment stored correctly and in good repair?
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Are “Wet Floor” signs and Safety Cones available?
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Is the floor clean and mop basin or sink clean?
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Are the housekeeping carts clean, fully stocked, and neatly organized?
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Is the general appearance of the housekeeping room(s) neat and orderly?
Mechanical Rooms
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Are any chemical storage containers labeled properly?
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Is any air filter inventory stored in a neat and orderly manner?
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Are emergency shutoff devices clearly labeled?
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Are storage shelves organized and neat?
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Is equipment stored correctly and in good repair?
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Is the general appearance of the mechanical room(s) neat and orderly?
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Are goggles and rubber gloves present near the water testing station?
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Is an eyewash station within 10 unimpeded feet of any caustic water treatment or testing chemicals?
Maintenance Shops / Workbenches
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Do the bench grinder tool rest gaps meet the current OSHA standard?
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Are ladders inspected per the ladder safety standard?
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Are all extension cords compliant regarding ground pin and double insulation present?
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Do all power tools have undamaged double insulated cords?
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Is appropriate PPE easily accessible for all activities?
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Is the general appearance of the maintenance shop and workbench(es) neat and orderly?
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Are all flammables stored in a FLAMMABLE cabinet?
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Are all acids stored in an ACID cabinet?
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Are all gas cylinders chained upright and all oxidizers stored separately from flammables?
Electrical Rooms
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Is the area in front of electrical panels clear for a minimum depth of three feet in front and a minimum width of the width of the equipment or 2.5 feet, whichever is greater?
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Is the room containing the electrical panels secured in such a way that only authorized individuals can access the space?
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Are the electric panels clearly marked with "arc flash" labels?
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Are all panel enclosures in place and properly secured? (no energized wiring showing)
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Are the floors, walls and ceiling clean and dry without any evidence of water infiltration into the room?
Data Closets / Data Center
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Is the room containing the data equipment secured in such a way that only authorized individuals can access the space?
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Are all of the floor panels in place?
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Is all wiring bundled properly and not strewn across the floor?
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Is the HVAC system functioning and maintaining the ambient temperature within standard?
Facility Exterior
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Exterior sheathing and trim all present with no breeches?
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Exterior lights all functioning?
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Windows intact and sealed?
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Doors all functional?
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Roofing material present and functional?
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Roof drains functional with no ponding present?
Parking Areas / Ramps
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Lights all functional?
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Drains functional?
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Strobe and traffic lights functional?
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Traffic control signage present and legible?
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Are fire lanes clearly marked and signage and curb paint clearly legible?
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Are pedestrian walkways clearly marked with signage and painted crosswalks?
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Are handicap stalls present with legible signage and paint?
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Corners free of debris and litter?
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Is there any vegetation growing in cracks?
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Are the parking lot surfaces sealed?
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Stairwells are clean and odor free?
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Ramps and parking areas are free of litter / cigarette butts?
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Ramp roof sealed with no leaks?
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Snow removed?
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Sufficient salt applied for safe driving surface, especially at intersections?
Sidewalks / Grounds / Hardscape
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Are sidewalks clean?
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Are sidewalks free of vegetation?
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Are sidewalks level (frost heaves ground down)?
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Are flagpoles functional?
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Are water features clean and functional?
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Are picnic area and other hardscape features clean and functional?
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Are ash trays present and large enough in designated smoking areas?
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Are lights functional?
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Do all security cameras have clear lines of sight through their field of view?
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Are ash trays present near entrances?
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Are fire hydrants and POV valves visible and easily accessible?
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Has sufficient salt been applied to create a safe walking surface, particularly around main entrances?
Landscaping
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Is the grass uniformly green?
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Is the sprinkler system functional?
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Is the grass an acceptable height?
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Is the lawn edged properly?
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Are weeds controlled sufficiently?
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Are perennials properly pruned?
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Are trees properly trimmed?
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Is sufficient mulch in place?
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Are grass clipping present on sidewalks, parking lots or other inappropriate locations?
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Is litter all removed from the landscaping?
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Are annual plantings appropriately colorful?
Exterior Signage
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Is signage legible?
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Is the entire sign lit at night?
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Is the dawn/dusk timer or light sensor operational?
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Is the signage the appropriate color(s)?