NDIS Cleaning Inspection

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Entrance

• Door handles

  Yes

  No

  N/A

• Architraves/side of doors

  Yes

  No

  N/A

• Light switches

  Yes

  No

  N/A

• Glass

  Yes

  No

  N/A

• Window ledges

  Yes

  No

  N/A

• Floor

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Skirtings

  Yes

  No

  N/A

• Architraves

  Yes

  No

  N/A

• Counter

  Yes

  No

  N/A

• Cobwebs

  Yes

  No

  N/A

Main Office

• Door handles

  Yes

  No

  N/A

• Architraves/side of doors

  Yes

  No

  N/A

• Light switches

  Yes

  No

  N/A

• Glass

  Yes

  No

  N/A

• Window ledges

  Yes

  No

  N/A

• Floor

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Skirtings

  Yes

  No

  N/A

• Desks

  Yes

  No

  N/A

• Chairs

  Yes

  No

  N/A

• Bins

  Yes

  No

  N/A

• Cobwebs

  Yes

  No

  N/A

Managers Office

• Door handles

  Yes

  No

  N/A

• Architraves/side of doors

  Yes

  No

  N/A

• Light switches

  Yes

  No

  N/A

• Glass

  Yes

  No

  N/A

• Window ledges

  Yes

  No

  N/A

• Floor

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Skirtings

  Yes

  No

  N/A

• Desks

  Yes

  No

  N/A

• Chairs

  Yes

  No

  N/A

• Bins

  Yes

  No

  N/A

• Cobwebs

  Yes

  No

  N/A

Other Offices

• Door handles

  Yes

  No

  N/A

• Architraves/side of doors

  Yes

  No

  N/A

• Light switches

  Yes

  No

  N/A

• Glass

  Yes

  No

  N/A

• Window ledges

  Yes

  No

  N/A

• Floor

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Skirtings

  Yes

  No

  N/A

• Desks

  Yes

  No

  N/A

• Chairs

  Yes

  No

  N/A

• Bins

  Yes

  No

  N/A

• Cobwebs

  Yes

  No

  N/A

Conference Room

• Door handles

  Yes

  No

  N/A

• Architraves/side of doors

  Yes

  No

  N/A

• Light switches

  Yes

  No

  N/A

• Glass

  Yes

  No

  N/A

• Window ledges

  Yes

  No

  N/A

• Floor

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Skirting

  Yes

  No

  N/A

• Desks

  Yes

  No

  N/A

• Chairs

  Yes

  No

  N/A

• Bins

  Yes

  No

  N/A

• Covwebs

  Yes

  No

  N/A

Staff Room

• Door handles

  Yes

  No

  N/A

• Architraves / side of doors

  Yes

  No

  N/A

• Light switches

  Yes

  No

  N/A

• Glass

  Yes

  No

  N/A

• Window ledges

  Yes

  No

  N/A

• Floor

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Skirtings

  Yes

  No

  N/A

• Tables

  Yes

  No

  N/A

• Chairs

  Yes

  No

  N/A

• Bins

  Yes

  No

  N/A

• Fridge

  Yes

  No

  N/A

• Microwave

  Yes

  No

  N/A

• Sink

  Yes

  No

  N/A

Female Toilet

• Bowels

  Yes

  No

  N/A

• Hand basin

  Yes

  No

  N/A

• Taps

  Yes

  No

  N/A

• Hand dryer

  Yes

  No

  N/A

• Sanitary bins

  Yes

  No

  N/A

• Door handles

  Yes

  No

  N/A

• Architraves/side of doors

  Yes

  No

  N/A

• Light switches

  Yes

  No

  N/A

• Floors

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Window ledges

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

Male Toilets

• Bowels

  Yes

  No

  N/A

• Urinals

  Yes

  No

  N/A

• Hand basins

  Yes

  No

  N/A

• Taps

  Yes

  No

  N/A

• Hand dryer

  Yes

  No

  N/A

• Door handles

  Yes

  No

  N/A

• Architraves/side of doors

  Yes

  No

  N/A

• Light switches

  Yes

  No

  N/A

• Floors

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Window ledges

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

Disabled Toilet

• Bowels

  Yes

  No

  N/A

• Hand basin

  Yes

  No

  N/A

• Taps

  Yes

  No

  N/A

• Hand dryer

  Yes

  No

  N/A

• Sanitary bins

  Yes

  No

  N/A

• Door handles

  Yes

  No

  N/A

• Architraves/side of doors

  Yes

  No

  N/A

• Light switches

  Yes

  No

  N/A

• Floors

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Window ledges

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

Sign Off

• Date / Time

  Date

• Manager Signature

  Sign

• Client Signature

  Sign