Title Page

  • Conducted on

  • Prepared by

  • Location

Janitorial

GENERAL CLEANING

  • Are the chemical storage containers and spray bottles labeled properly?

  • Are “Wet Floor” signs and Safety Cones and/or barricades available and utilized?

  • Is the general appearance of the janitor closet neat and orderly<br>

  • Housekeeping Supply Room and janitor carts are 5S

  • Are work orders called in for any broken or missing items?

  • Are resilient floor surfaces thoroughly swept and free of dust, dirt, or debris?

RESTROOMS/SHOWERS/LOCKER ROOMS

  • Are ALL soap dispensers adequately filled?

  • Tissue and towel dispensers stocked with product to ensure availability for each shift. To be inspected and restocked 2 x per shift.

  • Are restroom/shower/locker room floors clean and dry?

  • Are restrooms and locker rooms being deep cleaned per master sanitation schedule?

  • Are air fresheners and urinal screens in place and changed at the appropriate frequency?<br>

  • Is the restroom cleaning schedule and service sheet posted/up to date?

  • Are sanitizer bottles available and maintained in restrooms stalls?<br>

  • Are partitions/locker tops clean and dust free?

  • Have the fixtures been cleaned and polished?

  • Has trash been emptied and a new liner placed in receptacle?

  • Shower walls and floors scrubbed/clean?

OFFICE/LOBBY AREAS

  • Have tables/desks been cleaned/dusted?

  • Have tops of door jambs, pictures, name placards etc. been dusted?

  • Has trash been emptied and a new liner placed in receptacle?

  • Is floor surface thoroughly swept/vacuumed and free of dust, dirt, or debris (check corners)

CAFETERIA/DINING/BREAK AREAS

  • Have tables/chairs been wiped clean?

  • Has trash been emptied and a new liner placed in receptacle?

  • Have floors been adequately swept and mopped in the dining area?

  • Dining area setup (Tables, Serving Stands, etc.) to Site Standard at end of each shift.

  • Cleanliness of food service area of satellite break rooms is maintained.

  • Are the water coolers and water fountains clean, neat, and fully operational in non-production areas?

  • Are appliances (i.e. microwaves, refrigerators) clean, dust free and wiped down on the interior?

PRODUCTION AREA (General Cleaners)

  • Is the yellow brick road clear of debris and soil build-up?<br>

  • Has trash been emptied and a new liner placed in receptacle and emptied in control rooms and non-production areas (TL offices, DDS rooms, etc)<br>

  • Trash Removed from Designated Points. Site to define areas

  • Aisle demarcation lines are defined. Cleaning crew will report any deterioration issues for resolution.

  • Lower Walls/Fixed Objects (railings) - No Buildup or Dust

  • Door frames free of dust buildup

  • Are the chemical storage containers labeled properly?

  • Are SOPs developed and routinely updated?

  • Are sanitation general cleaners trained to SSOPs and validated annually at a minimum<br>

Grounds Maintenance Summer

GROUNDS

  • Turf Areas well maintained to a specific and uniform height Primary turf will be maintained at a height no shorter than 3” and shall not be taller than 6” in height.

  • Weed/Pest Control Program

  • Are SDS Sheets up to date and chemicals approved to be used on site?

  • Are shrubs trimmed and shaped properly?

  • Are trees trimmed to ensure "line of site" visability?

  • Are fence lines free of vines and weed intrusion?

  • Do mowers, weed eaters, edgers and other equipment have factory installed guards in place?

  • Is building perimeter being maintained foliage free? (1-2 feet)

  • Fertilization Program maintained.

  • Trees/Shrubs/Bed Management. All ornamental beds and tree aprons will be maintained to near 0% weed free. All tree aprons will be mulched on an annual basis. All plantings will be cut back and have leaves removed for winter lay up.

  • Mulching/pre-em herbicide program. Site will be presented with report indicating what type and amount of product was used and adherence to application schedule.

  • Watering Program - Only to be implemented during extreme weather conditions to protect sensitive plants. Sensitive planting will not display signs dues to lack of hydration.

  • Exterior Appearance/Condition

  • Trash receptacles are clean and functional

MANAGEMENT CONTROL

  • Grounds Management Plan - Plan is developed to include tasks and schedule and updated seasonally.

  • Grounds Inspection Plan - Plan is developed to include tasks and schedule and updated seasonally.

  • Grounds Employee Training - Personnel are required to adhere to client and industry safety protocols

Roads and Walkways

ROADWAYS/LOTS

  • Are parking lot lights working properly?

  • Are flags out, in good shape and match the proper pole?

  • No debris is accumulating in corners.

  • Is smoking area free of litter/cigarette butts?

  • Are sidewalks free of danger? (slips, trips and falls)

  • Are traffic signs visible and in good condition?

  • Are poles, railings, and curbs painted and stripes visible?<br>

  • Are all flat surface areas (parking areas, sidewalks, macadam) free of potholes and/or curb damage?

Building Maintenance

BUILDING MAINTENANCE (Work Order Driven)

  • Workorders <180 days old (exceptions discussed prior)

  • Quotes for Outside Services include Workorder Number

  • All Approved Work Orders have Target Start Dates

  • 0 Food Safety Incidents during Work Completion (Last 30 days)

  • Handyman Utilization rate >80% (Percentage of work time reported in Maximo)"

  • Defects reported by C&W Staff >15 (Last 30 days)

  • Need C&W to develop method to execute and track

Plant Sanitation

PLANT SANITATION (Work Order Driven)

  • Priority 1 Work orders responded to on time

  • Priority 2 Work orders responded to on time

  • Priority 3 Work orders responded to on time

  • Priority 4 Work orders responded to on time (PM’s)

  • Priority 5 Work orders responded to on time (Projects)

  • Priority 1 Work orders completed on time

  • Priority 2 Work orders completed on time

  • Priority 3 Work orders completed on time

  • Priority 4 Work orders completed on time (PM’s)

  • Priority 5 Work orders completed on time (Projects)

Safety Audit

SAFETY / RISK MANAGEMENT

  • Procedures for Equipment Failure

  • Haz Mat Training

  • Fed/State/Local Insps on File

  • EPA Emg Spill #'s Posted

  • PCB Transformers Identified

  • Emergency #'s Posted

  • C&W Services HSE training up to date (new employees are required to make up training that was missed).

  • C&W Services Job Safety Analysis (JSA) training up to date. (C&W Services provides generic JSA in Janitorial, Mechanical, Electrical, Landscaping,/Grounds, and Maintenance. Each site will use this JSA or modify to meet the specific needs of the site.)

  • Safety Data Sheets are available to all employees ( C&W Services and customers) for every chemical that is utilized on site. Due to OSHA changing the requirements of the Hazard Communication the site must be compliant with requirement dates set by C&W Corporate HSE or the customer, whichever is more stringent.

  • Personal Protective Equipment (PPE) Assessment been completed and implemented. Are employees compliant with wearing the proper PPE for all jobs/tasks.

  • C&W Services employees know where they are to report during an emergency. C&W Services employees know that they are not to fight fires, however, they are allowed to use fire extinguishers to clear a path to escape from a fire/

  • C&W Services employees know to utilize safe lifting principals when manually lifting an object.

  • Hand and Power Tools are inspected prior to each use and annually by a C&W Services manager.

  • Ladder use is restricted until after training occurs. Each ladder is inspected by the employee prior to use (defective ladders are removed from service). Employees use the three-point system of ascending and descending a ladder. Employees never step on the top two rungs of an A-Framer ladder. all straight ladders set against a wall have at least three rungs above the top edge and are tied off.

  • C&W Services employees do not clean up or handle blood or other bodily fluids unless they have received Blood Borne Pathogen (BBP) training.

  • C&W Services employees never sign any manifests or paperwork for any waste that is removed.

  • Lockout Tag out (LOTO) procedures are followed and employees have been reviewed by the supervisor annually regarding these procedures.

  • Powered Industrial Vehicle (PIV) drivers have been certified (every three years) on the particular PIV that they are using.

  • Hot Work permits are used for all Welding, Cutting, or Brazing Work and maintained for the length of the contract.

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.