Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

NC Quality Control Inspection Score For Total Facility

  • General dusting & disinfecting

  • Hard surface floors

  • Vacuuming

  • Trash

  • Restrooms

  • Overall

General Cleaning-Entry and Offices

  • Entry Doors Clean Inside and Outside

  • Furniture Clean

  • Free of Cobwebs

  • Are Floors Clean

  • Offices/Entry free of Dust

Rest Rooms

  • Floors Clean

  • Toilets/Urinals Cleaned

  • Mirrors Clean

  • Counters and Sinks Clean

  • Supplies Filled

  • Partitions Clean

Conference and/or Board Room

  • Conference table Clean

  • Floors are Clean

  • Free of Dust/cobwebs

Break/Lunch Room/Kitchen

  • Refrigerator Clean

  • Microwave Clean

  • Tables and Chairs Clean

  • Floors Clean

  • Counters and sinks Clean

  • Free of Dust

  • Supplies filled

Stairwells & halls

  • Floors Clean in halls

  • Free of Dust/Cobwebs

  • Floors clean in stairwells

Elevators

  • Steel and walls clean and no Handprints

  • Floors Clean

  • Tracks Clean

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.