Janitech Facility Audit Copy Copy

• Document No.

• Audit Title

• Client

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Restrooms/Showers

• Toilets, Sinks, Urinals Cleaned and Sanitized

  Yes

  No

  N/A

• Trash Receptacles Wiped, Emptied, and Lined

  Yes

  No

  N/A

• Sanitary Napkin Dispenser Wiped, Emptied, and Lined

  Yes

  No

  N/A

• Restroom Dispensers Stocked

  Yes

  No

  N/A

• Glass, Mirrors, Hardware Cleaned and Polished

  Yes

  No

  N/A

• Floors Dust Mopped, Washed, and Sanitized

  Yes

  No

  N/A

• Partitions, Lights, Doors Dusted and Cleaned

  Yes

  No

  N/A

• Shower Stalls Washed and Sanitized

  Yes

  No

  N/A

• Lockers Dusted and Spot Cleaned

  Yes

  No

  N/A

• Floor Drains Cleaned and Water Poured In Weekly

  Yes

  No

  N/A

• Walls by Sinks, Urinals Cleaned

  Yes

  No

  N/A

Offices/Conference Rooms

• Furniture Cleaned and Organized

  Yes

  No

  N/A

• Trash Receptacles Wiped, Emptied, and Lined

  Yes

  No

  N/A

• Doors, Partitions, Walls Dusted and Cleaned

  Yes

  No

  N/A

• Equipment, Phones, Machines Checked and Inspected

  Yes

  No

  N/A

• Partition Glass Cleaned

  Yes

  No

  N/A

• Drinking Fountains Cleaned and Sanitized

  Yes

  No

  N/A

• Carpets Vacuumed and Spot Cleaned if Necessary

  Yes

  No

  N/A

• Floors Dust Mopped, Washed, and Sanitized

  Yes

  No

  N/A

• Office Door Glass Cleaned

  Yes

  No

  N/A

• Telephones Dusted and Cleaned

  Yes

  No

  N/A

Lobby/Reception Areas

• Furniture Cleaned and Organized

  Yes

  No

  N/A

• Trash Receptacles Wiped, Emptied, and Lined

  Yes

  No

  N/A

• Doors/Partitions/Walls Dusted and Cleaned

  Yes

  No

  N/A

• Carpets Vacuumed and Spot Cleaned if Necessary

  Yes

  No

  N/A

Cafeteria/Lounge Areas

• Tables, Chairs, Counters, Sinks, Cleaned, Sanitized and Organized

  Yes

  No

  N/A

• Appliances, Vending Machines Cleaned

  Yes

  No

  N/A

• Microwave Interior and Exterior Cleaned

  Yes

  No

  N/A

• Coffee Machines Cleaned and Rinsed

  Yes

  No

  N/A

• Trash Receptacles Wiped, Emptied, and Lined

  Yes

  No

  N/A

Exam/Procedure Rooms

• Exam Tables Cleaned and Sanitized with #256

  Yes

  No

  N/A

• Floors Dust Mopped, Washed, and Sanitized

  Yes

  No

  N/A

• Dispensers Stocked

  Yes

  No

  N/A

• Trash Receptacles Wiped, Emptied, and Lined

  Yes

  No

  N/A

Gym Areas

• Glass, Mirrors, Hardware Cleaned and Polished

  Yes

  No

  N/A

• Floors Dust Mopped, Washed, and Sanitized

  Yes

  No

  N/A

• Partitions, Lights, Doors Dusted and Cleaned

  Yes

  No

  N/A

• Equipment, Bikes, Benches Cleaned

  Yes

  No

  N/A

• Dispensers Stocked

  Yes

  No

  N/A

Flooring

• Carpets, Area Rugs Vacuumed and Spot Cleaned if Necessary

  Yes

  No

  N/A

• VCT/Terrazzo Dust Mopped, Washed, and Buffed

  Yes

  No

  N/A

Common Areas

• Elevators, Walls, Buttons Washed and Sanitized

  Yes

  No

  N/A

• Water Fountains Cleaned and Sanitized

  Yes

  No

  N/A

• Carpets Vacuumed and Spot Cleaned if Necessary

  Yes

  No

  N/A

• Floors Dust Mopped, Washed, and Sanitized

  Yes

  No

  N/A

• Trash Receptacles Wiped, Emptied, and Lined

  Yes

  No

  N/A

• Entrance Doors Cleaned

  Yes

  No

  N/A

Exterior

• Entrance Dusted and Cleaned

  Yes

  No

  N/A

• Sidewalks Swept and Cleared

  Yes

  No

  N/A

• Paper-Debris Discarded

  Yes

  No

  N/A

• Parking Lot Free of Debris

  Yes

  No

  N/A

Miscellaneous

• Vents, Louvers, Fans, Blinds Dusted

  Yes

  No

  N/A

• Upholstered Furniture/Drapes Dusted and Vacuumed

  Yes

  No

  N/A

• Floor Mats Vacuumed and Spot Cleaned if Necessary

  Yes

  No

  N/A

• Air Control Systems Refilled and Reset

  Yes

  No

  N/A

• Baseboards Dusted

  Yes

  No

  N/A

• Thresholds Vacuumed and Cleaned

  Yes

  No

  N/A

• Emergency Exits/Stairwells Vacuumed and Dusted

  Yes

  No

  N/A

Infection Prevention

• General Cleanliness:

  Yes

  No

  N/A

• * observe surfaces for high dust & residue, floors, stairwells, exam rooms & restrooms
  * No blood or bodily fluids
  

• Linen and Linen Carts: Covered and Carts Have Solid Bottoms<br><br>

  Yes

  No

  N/A

• Hand Hygiene Products:

  Yes

  No

  N/A

• * No empty alcohol gel products
  * No empty soap or paper towels
  * No unapproved lotions

• Ceiling Tiles Are In Place, No Cracks, Holes, Or Visible Stains

  Yes

  No

  N/A

• No Storage on Floors or Window - Sills

  Yes

  No

  N/A

Building Security

• Lights Shut Off Prior to Leaving Area

  Yes

  No

  N/A

• Alarms Secured

  Yes

  No

  N/A

• Employee Wearing Uniform

  Yes

  No

  N/A

• Employee Wearing a Name Badge

  Yes

  No

  N/A

• Doors Locked and Secured

  Yes

  No

  N/A

Janitor's Closet

• Equipment Checked and Inspected

  Yes

  No

  N/A

• Safety Data Sheets Present for All Chemicals

  Yes

  No

  N/A

• Paper/Liners/Chemicals Stocked and Organized

  Yes

  No

  N/A

• Cleaning Chemical Products Stocked, Labeled, and Organized

  Yes

  No

  N/A

• Employee's Signature

  Sign

• Manager's Signature

  Sign