Facilities Custodial Closet Inspection Form

• Custodian's Name (Last, First)

• School Site

• Building and Room Number

• Conducted on

  Date

• Prepared by

CUSTODIAL CLOSET

• Is assigned closet clean and organized?

  Yes

  No

  N/A

• Approved chemicals stocked and NO unapproved chemicals stored?

  Yes

  No

  N/A

• Vacuum bag is empty and vacuum condition is clean and working?

  Yes

  No

  N/A

• Cart equipment correct and organized?

  Yes

  No

  N/A

• Cart cloths and mops are in proper order and volume for assigned route?

  Yes

  No

  N/A

EQUIPMENT

• Cleaned and stored away neat?

  Yes

  No

  N/A

• All equipment free of defect?

  Yes

  No

  N/A

WALLS

• Walls are clean?

  Yes

  No

  N/A

• Doors and frames are clean?

  Yes

  No

  N/A

• Floors are clean and free of clutter?

  Yes

  No

  N/A

TRASH

• Is the trash container clean?

  Yes

  No

  N/A

• Is the recycle container clean?

  Yes

  No

  N/A

STORAGE CONDITION

• Are the cabinets tops and drawers faces are clean?

  Yes

  No

  N/A

• Room is clean and neat?

  Yes

  No

  N/A

• Are the sinks clean?

  Yes

  No

  N/A

Signatures

• Additional Comments:

• Inspector

  Sign

• Custodian

  Sign