Title Page

  • Conducted on

  • Drivers Name

  • Prepared by

  • Map Location
  • Which Bin

  • Procedures / Risk Assessments Followed

  • Driver Following Work Instructions

  • Have Bins Been Emptied To Required Standards

  • All Maintenance Issues Completed And Cleared

  • Correct Break Times

  • Comments

Photos

  • Insert all related photos

Cleaners signature

  • Sign below

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.