Title Page

  • Conducted on

  • Station

  • Aircraft Tail #

  • Clean Type

  • Agents Performing Clean (LMS user ID)

  • Prepared by

Flight Deck

  • Floors Vacuumed & No Trash

  • Score

  • Photo Evidence

Forward Entry Area & FA Jumpseat

  • Walls & Panels Clean

  • Floors Cleane & Mopped

  • PA Receiver Clean

  • Jumpseat & Jumpseat Frame Clean

  • Score

  • Photo Evidence

Forward Lavatory

  • Counters, sink, walls, door, toilet shroud, lid, seat and bowl cleaned & disinfected.

  • Floor Clean

  • Trash Empty

  • Mirror Clean

  • Lav Deodorized

  • C-folds, facial & toilet tissue, femenine hygene products & approved hand soap restocked.

  • Score

  • Photo Evidence

Cabin

  • Overhead bins & bin doors clean

  • Trash removed from floors, seats and seat pockets

  • Seats, seat backs, and seat frames clean. Seatbelts laid out straight.

  • A321 Jumpseat and frame clean (row 26)

  • Seatback contents front to back; Safety Briefing Card, airsick bag, Cabin Service Guide

  • Tray tables, armrests, passenger service units, windows, shades and walls clean

  • Score

  • Photo Evidence

Aft Galley

  • Counters & bins clean

  • Trash cans empty & clean; liner replaced

  • Ovens clean

  • Ice bins empty and dry

  • Walls, floors and vents clean

  • Score

  • Photo Evidence

Aft Lavatory

  • Counters, sink, walls, door, toilet shroud, lid, seat and bowl cleaned & disinfected.

  • Floor Clean

  • C-folds, facial & toilet tissue, femenine hygene products & approved hand soap restocked.

  • Changing table clean & disinfected

  • Trash emptied & Lavatory deodorized

  • Score

  • Photo Evidence

Aft FA Jumpseat

  • Walls & panels clean

  • Floors clean & mopped

  • PA receiver clean

  • jumpseat and jumpseat frame clean

  • Score

  • Photo Evidence

Comments

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.