Title Page
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Conducted on
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Location
General Facilities
Restrooms
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Toilets: add cleaner and scrub with toilet brush, flush, wipe down seat and outside of toilet with cleaner and a clean cloth
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Sinks: spray with cleaner and wipe clean with a clean cloth;
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Floors: Sweep floors, Fill scrub bucket with cleaner and water and mop floor with washroom mop stored in utility closet
Lunchroom
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Table: wipe with cloth and cleaner
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Sink: spray with cleaner and wipe with cloth Microwave: wipe with cloth
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Refrigerator: dispose of any old food, wipe any spills with cloth
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Garbage: remove garbage and clean garbage can,
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Floors: Sweep floors, Fill scrub bucket with cleaner and water and mop floor with mop stored in utility closet
Door Handles and Light Switches
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Sanitize all door handles and light switches in the building using a clean cloth and sanitizer spray bottle with CSG 1000 and water in a 1:80 Dilution.
Verification
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Verified By (Name)
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Verified On (Date)