Title Page

  • Conducted on

  • Supervisor:

  • Lead:

Daily Tours:

  • Areas Toured:

E.Q.E. / HRO Inspections completed:

  • E.Q.E.?

  • HRO?

Discharge Information:

  • Number of OR Rooms in your area passed over at 3:00pm?

  • Any OR Room Turnover Issues?

  • Has The OR Room Turnover issues been resolved?

Projects:

  • FloorCare - Scrub & Buff:

  • FloorCare - Mop & Buff:

  • FloorCare - Strip & Refinish:

  • FloorCare - Scrub & Refinish:

  • Wall Washing/Spot Cleaning:

  • Vent Cleaning/Dusting/Vacuum:

  • Clean Elevator/Elevator Tracks:

  • iMop:

  • Others:

Complaints:

  • Other Complaints?

  • Has Complaints been resolved or need further investigation?

Staffing: Call offs/Late ins & issues:

  • BJH Staff: Call off /Late ins

  • MWS Staff: Call offs/Late ins

Pertinent Information:

  • Any Pertinent information management needs to be aware of?

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