Information

  • Station:

  • Prepared By (Employee Name):

  • Date

  • Request No.

  • Laundry Detergent

  • Size:

  • All the same type (if more than 1)?

  • Bounce Fabric Softener

  • Hand Soap-Liquid; White Lanolin

  • Hand Soap-Bar; Dove

  • Shower Soap/Shampoo; Gojo

  • Dish Soap - Liquid; Dawn

  • Dish Soap - Machine

  • Bleach

  • Size:

  • All the same type (if more than 1)?

  • Glass Cleaner; Sparkle

  • General Purpose Cleaner; Citrus Hydroxyclean

  • Oven Cleaner; W600

  • Towel Bowl Cleaner; DBBC

  • Disinfectant Foam; SWISH

  • Toilet Paper, Case

  • Facial Tissue

  • Paper Towels - Multi Fold, case

  • Paper Towels - Roll, case

  • Dust Pan

  • Dust Pan Brush

  • Push Broom Head

  • Corn Broom

  • Toilet Bowl Brush

  • Dry Mop Head

  • Dry Mop Frame

  • Wet Mop Head

  • Wet Mop Head

  • Squeegee

  • Type

  • All the same type (if more than 1)?

  • Scotch-Brite Sponges

  • Spray Bottle

  • Pump for Jugs

  • Blue Tarp

  • Trash Can Liners

  • Size:

  • All same size (if more than 1)?

  • WD-40

  • Visqueen Roll

  • Car Wax; Quickor

  • Truck Soap

  • Wash Mitt

  • Truck Wash, Brush

  • Truck Wash, Brush Handle

  • Chamois

  • Duct Tape

  • Fire Line Tape

  • Ear Plugs

  • 20/10 Windshield Cleaner

  • Styrofoam Cups

  • Dust Masks

  • Garden Hose

  • Garden Hose Nozzle

  • Floor Cleaner

  • Floor Stripper

  • Floor Finish/Wax

  • Light Bulbs

  • Wattage:

  • All the same wattage (if more than 1)

  • Floodlight

  • Use:

  • All the same type (if more than 1)

  • Fluorescent Ballast Light Bulbs

  • Type:

  • Size:

  • Two Cycle Oil

  • Bar Oil

  • MotoMix, Two cycle Fuel

  • Boot Polish

  • Boot Buffing Brush

  • Boot Polish Applicator Brush

  • Special Order

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.