Title Page
-
Room Name
-
Geisinger Building Name
-
Conducted on
-
Personnel
-
Prepared by: ASM Environmental, LLC
Geisinger Parameters
-
If you are unable to get in the room via your badge or key, please call DC Operations at 271.6818
-
Does key work?
-
What type of key is it? (via engraved letters on the key)
- LN
- HE
- HL
- RA
- GWV HA
- GWB HB
- GWV NA
-
If key works, please close door and use prox card for entry
-
Does the prox card reader work?
-
Is there a camera?
-
Picture of camera
-
Room Assessment
-
Picture(s) of Room From Doorway (Before)
-
Is there a room doorway barcode identifier?
-
Picture of Room Doorway Barcode Identifier
-
Is placard on outside of room with room name?
-
Picture of Placard
-
Is equipment piled to one area?
-
General Comments:
ASM Environmental Cleaning Parameters
-
Dust off tops of racks
-
Vacuum inside racks/cabinets if needed (be cautious around cables)
-
HEPA vacuum floor and walls (ceiling if needed or applicable; be cautious around smoke detector)
-
Damp mop flooring
-
Remove cardboard/bottles/wire clippings/general trash
-
Any manuals or loose equipment should be consolidated to one spot (if possible)
-
After cleaning the room picture(s).
-
Add signature