Entrance and Lobbies

Elevators and Stairwells

Office/Equipment Area


Kitchen / Lunch Room

Exterior / Grounds

Fitness Area (Gym)

Building Staff Overall Scoring

Additional Information?

Follow up?

C&W Services Rep. Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.