Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Entrance Condition

  • Trash, Cigarette butts picked up off ground

  • Ash Trays Empty, Fresh Sand or Cat Litter

  • Door Glass

  • Door Frame

  • Sweeping/Mop

  • Cobwebs

  • Mats Vacuumed

  • Trash Empty

Restrooms

  • Countertops and back splash cleaned

  • Sinks

  • Mirrors

  • Clean Exterior of Vanities

  • Bright Work (Faucets - Chrome Fixtures)

  • Toilets

  • Urinals

  • Floors (Vacuumed and Mopped)

  • Vent Grills

  • Base Boards

  • Dusting

  • Light Fixtures and Switches

  • Towel Bars - Hand Rails

  • Dispensers, Wiped Down and Polished

  • Walls Spot Cleaned

  • Supplies Filled

  • Showers Cleaned

  • Push Plates

  • Kick Plates

Restrooms Detailing

  • Sinks

  • Faucet

  • Toilets

  • Urinals

  • Shower

  • Baseboards

  • Floor

Lobby

  • Dusting Horizontal Surfaces

  • Dust Ceiling Corners

  • Vacuum Carpet

  • Vacuum Rugs

  • Vacuum/Dust Mop/Damp Mop Floors

  • Receptionist Desk Wiped

  • Magazines, Chairs Straightened

  • Vacuum Vent Grills

  • Dust Light Fixtures and Disinfect Switches

  • Baseboards

Trash/Recycling

  • No Trash Was Missed

  • Liners Changed

  • Extra Liners in the Bottom of Cans

  • Trash Can Placed Neatly Where it Belongs

  • Trash Cans Outside Wiped Down

  • Wash Inside of Trash Can When Needed

  • Trash Under Desks on Floor

  • Recycling Bins Emptied

Elevators

  • Dust Horizontal Surfaces

  • Dust Ceiling Covers

  • Dust Light Fixtures

  • Wipe Baseboards

  • Vacuum and Damp Mop Hard Floor

  • Vacuum Carpet

  • Clean and Polish Doors and Walls

  • Clean Treads

Stairwells

  • Dusting

  • Handrails

  • Sweeping/Vacuuming Treads and Landings

  • Mopping

  • Cobwebs

  • Vacuuming Mats

Dusting

  • Lobbies

  • Common Areas

  • Desk/Office Areas

  • Window Sills

  • Walls (Pictures, Clocks, Etc.)

  • Door Frames

Detail Dusting

  • High (Vents, Lights, Ceiling Corners)

  • Low (Chair and Table Legs, Sides of Desks and Filing Cabinets, Baseboards, Under Desks, Etc.)

  • Blinds (Dust or Vacuum, Cobwebs Behind Blinds, Doors, Window Sills)

Break Rooms/Coffee Centers

  • Countertops and Back Splash Cleaned

  • Sink, Bright Work Cleaned (Chrome Fixtures)

  • Outside of Cabinets Spot Cleaned

  • Tables Wiped, Straightened

  • Vending Machines Spot Cleaned with Top Dusted or Wiped Cleaned

  • Outside of Microwave, Refrigerators, Dishwashers, Stove Cleaned

  • Walls Spot Cleaned

  • Dusting

  • Drinking Fountains

  • Chairs Wiped Down and Pushed In

  • Sweep/Vacuuming Floor

  • Mopping Floor

  • Vacuuming Floor Mats

  • Push Plates

  • Kick Plates

Hard Floors

  • Mopping

  • Black Heel Marks

  • Sweeping/Vacuuming

Vacuuming

  • Common Area

  • Floor Mats

  • Office Areas

  • Traffic Lanes

Detail Vacuuming

  • Hard to Reach Areas

  • Under Desks

  • Along Baseboards

Misc. Detail Cleaning

  • Fingerprints On Inside Office Glass

  • Chair Legs (Wipe)

  • Baseboard Ledge

  • Phones

  • Light Switches

  • Desktops (Wipe)

  • Kick Plates

  • Push Plates

  • Walls (Spots)

Exam Rooms

  • Dusting

  • Counters Cleaned and Disinfected

  • Exam Table (Dusted, Disinfected, Paper Pulled Down and Tucked Neatly, Etc.)

  • Mop (Corners, Edges, Behind Doors, Etc.)

  • Refill Dispensers

  • Mirrors Cleaned

  • Spot Clean Walls

  • Tops of Trash Cans Cleaned and In Place

Closing Checklist

  • Lights Turned Off (Designated Lights On)

  • Chairs Pushed Up to Desks and Tables

  • Designated Doors Closed

  • Door Locked

Equipment/Janitor Closet

  • Janitor Closet (Cleaned and Organized)

  • Mop Buckets (Rinsed Out)

  • Mop (Cleaned and Stored Properly)

  • Vacuum (Bag Emptied, Filter Cleaned, Beater Bar Clean, Extra Belts, Outside/Inside Wiped Cleaned, Clips Attached,Cord Coiled Up and In Good Shape, Harness In Good Work Order, Floor Clean Tool Clean and In Good Working Order)

  • Carpet Extractor

  • Automatic Scrubber

  • Wet/Dry Vacuum

  • Brooms (Stored Properly-Not on Straws)

  • Spray Bottles (Cleaned, Filled, and Properly Labeled)

  • Supplies (Stored Properly on Shelf)

  • Brute, Caddy, Maid Cart (Organized and Clean Inside and Outside)

  • High Speed Machine

  • Slow Speed Machine

  • Dusters, Cleaning Cloths (Hung to Dry and In Good Working Order)

Vehicle Inspection

  • Cleanliness (Outside)

  • Cleanliness (Inside)

  • Tires

  • Body

  • Mileage Books Properly Filled Out

  • Oil Change and Repair Log Filled Out

  • Proof of Insurance and Registration Handy

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.