ECC - Roebourne Facilities Cleaning Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

Public Area

• Floors

  Good

  Fair

  Poor

  N/A

• Walls & skirts

  Good

  Fair

  Poor

  N/A

• Doors & frames

  Good

  Fair

  Poor

  N/A

• Windows/Glass & sills

  Good

  Fair

  Poor

  N/A

• Furniture & fixtures

  Good

  Fair

  Poor

  N/A

• Bins no more than 3/4 full and lined

  Good

  Fair

  Poor

  N/A

Office

• Floors

  Good

  Fair

  Poor

  N/A

• Walls & skirts

  Good

  Fair

  Poor

  N/A

• Doors & frames

  Good

  Fair

  Poor

  N/A

• Windows/Glass & sills

  Good

  Fair

  Poor

  N/A

• Desks (if clear)

  Good

  Fair

  Poor

  N/A

• Furniture & fixtures

  Good

  Fair

  Poor

  N/A

• Bins no more than 3/4 full and lined

  Good

  Fair

  Poor

  N/A

Toilet

• Floors

  Good

  Fair

  Poor

  N/A

• Walls & skirts

  Good

  Fair

  Poor

  N/A

• Doors & frames

  Good

  Fair

  Poor

  N/A

• Window/Glass & sills

  Good

  Fair

  Poor

  N/A

• Mirror, vanity & sinks

  Good

  Fair

  Poor

  N/A

• Toilets

  Good

  Fair

  Poor

  N/A

• Urinals

  Good

  Fair

  Poor

  N/A

• Showers

  Good

  Fair

  Poor

  N/A

• Sanitary bins

  Good

  Fair

  Poor

  N/A

• Sharps dispenser

  Good

  Fair

  Poor

  N/A

• Bins no more than 3/4 full and lined

  Good

  Fair

  Poor

  N/A

• Sufficient consumables

  Good

  Fair

  Poor

  N/A

Office

• Floors

  Good

  Fair

  Poor

  N/A

• Walls & skirts

  Good

  Fair

  Poor

  N/A

• Doors & frames

  Good

  Fair

  Poor

  N/A

• Windows/Glass & sills

  Good

  Fair

  Poor

  N/A

• Desks (if clear)

  Good

  Fair

  Poor

  N/A

• Furniture & fixtures

  Good

  Fair

  Poor

  N/A

• Bins no more than 3/4 full and lined

  Good

  Fair

  Poor

  N/A

Toilet

• Floors

  Good

  Fair

  Poor

  N/A

• Walls & skirts

  Good

  Fair

  Poor

  N/A

• Doors & frames

  Good

  Fair

  Poor

  N/A

• Window/Glass & sills

  Good

  Fair

  Poor

  N/A

• Mirror, vanity & sinks

  Good

  Fair

  Poor

  N/A

• Toilets

  Good

  Fair

  Poor

  N/A

• Urinals

  Good

  Fair

  Poor

  N/A

• Showers

  Good

  Fair

  Poor

  N/A

• Sanitary bins

  Good

  Fair

  Poor

  N/A

• Sharps dispenser

  Good

  Fair

  Poor

  N/A

• Bins no more than 3/4 full and lined

  Good

  Fair

  Poor

  N/A

• Sufficient consumables

  Good

  Fair

  Poor

  N/A

• Define location

  Male

  Female

• Floors

  Good

  Fair

  Poor

  N/A

• Walls & skirts

  Good

  Fair

  Poor

  N/A

• Doors & frames

  Good

  Fair

  Poor

  N/A

• Window/Glass & sills

  Good

  Fair

  Poor

  N/A

• Mirror, vanity & sinks

  Good

  Fair

  Poor

  N/A

• Toilets

  Good

  Fair

  Poor

  N/A

• Urinals

  Good

  Fair

  Poor

  N/A

• Showers

  Good

  Fair

  Poor

  N/A

• Sanitary bins

  Good

  Fair

  Poor

  N/A

• Sharps dispenser

  Good

  Fair

  Poor

  N/A

• Bins no more than 3/4 full and lined

  Good

  Fair

  Poor

  N/A

• Sufficient consumables

  Good

  Fair

  Poor

  N/A