NSS The Co Store

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

SOUTH MALL

• Yes

  No

  N/A

• Clean Entrance

  Yes

  No

  N/A

• Clean Glass

  Yes

  No

  N/A

• Clean Mirrors

  Yes

  No

  N/A

• Mop Floor

  Yes

  No

  N/A

• Wash Walls

  Yes

  No

  N/A

• Empty Bins

  Yes

  No

  N/A

MIDDLE MALL

• Clean Glass

  Yes

  No

  N/A

• Clean Mirrors

  Yes

  No

  N/A

• Mop Floors

  Yes

  No

  N/A

• Wash Walls

  Yes

  No

  N/A

• Empty Bins

  Yes

  No

  N/A

• Fire Escape

  Yes

  No

  N/A

NORTH MALL

• Clean Glass

  Yes

  No

  N/A

• Clean Mirrors

  Yes

  No

  N/A

• Mop Floors

  Yes

  No

  N/A

• Wash Walls

  Yes

  No

  N/A

• Empty Bins

  Yes

  No

  N/A

• Clean Escalator

  Yes

  No

  N/A

• Clean Lift

  Yes

  No

  N/A

TOILETS - MALE

• Clean Doors/Handles

  Yes

  No

  N/A

• Clean Cubicals

  Yes

  No

  N/A

• Clean Toilet Bowls

  Yes

  No

  N/A

• Clean Urinals

  Yes

  No

  N/A

• Clean Hand Basins

  Yes

  No

  N/A

• Re Fill Soap / Hand Sanitizer

  Yes

  No

  N/A

• Clean Hand Dryer

  Yes

  No

  N/A

• Clean Mirror

  Yes

  No

  N/A

• Mop Floors

  Yes

  No

  N/A

• Wash Walls

  Yes

  No

  N/A

• Empty Bins

  Yes

  No

  N/A

TOILETS - FEMALE

• Clean Doors and Handles

  Yes

  No

  N/A

• Clean Cubicals

  Yes

  No

  N/A

• Clean Toilet Bowls

  Yes

  No

  N/A

• Clean Hand Basins

  Yes

  No

  N/A

• Re Fill Soap / Hand Sanitizer

  Yes

  No

  N/A

• Clean Hand Dryers

  Yes

  No

  N/A

• Clean Mirrors

  Yes

  No

  N/A

• Mop Floors

  Yes

  No

  N/A

• Wash Walls

  Yes

  No

  N/A

• Empty Sanitary Bins

  Yes

  No

  N/A

TOILETS - DISABLED

• Clean Doors and Handles

  Yes

  No

  N/A

• Clean Cubical

  Yes

  No

  N/A

• Clean Toilet Bowls

  Yes

  No

  N/A

• Clean Hand Basin

  Yes

  No

  N/A

• Re Fill Soap /Hand Sanitizer

  Yes

  No

  N/A

• Clean Hand Dryer

  Yes

  No

  N/A

• Clean Mirror

  Yes

  No

  N/A

• Mop Floors

  Yes

  No

  N/A

• Wash Walls

  Yes

  No

  N/A

• Empty Bins

  Yes

  No

  N/A

PARENTS ROOM

• Clean Doors and Handles

  Yes

  No

  N/A

• Wash Walls

  Yes

  No

  N/A

• Mop Floor

  Yes

  No

  N/A

• Empty Bins

  Yes

  No

  N/A

• Clean Change Bench

  Yes

  No

  N/A

• Clean Hand Basin

  Yes

  No

  N/A

• Vacuum / Clean Couch

  Yes

  No

  N/A

CAR PARK L1

• Empty Bins

  Yes

  No

  N/A

• Empty Rubbish

  Yes

  No

  N/A

• Cobwebs

  Yes

  No

  N/A

• Clean Graffiti

  Yes

  No

  N/A

• Fire Escape

  Yes

  No

  N/A

CAR PARK L2

• Empty Bins

  Yes

  No

  N/A

• Empty Rubbish

  Yes

  No

  N/A

• Cobwebs

  Yes

  No

  N/A

• Clean Graffiti

  Yes

  No

  N/A

• Fire Escape

  Yes

  No

  N/A

CAR PARK ROOF

• Empty Bins

  Yes

  No

  N/A

• Empty Rubbish

  Yes

  No

  N/A

• Cobwebs

  Yes

  No

  N/A

• Clean Graffiti

  Yes

  No

  N/A

• Fire Escape

  Yes

  No

  N/A

LOADING BAY

• Empty Rubbish

  Yes

  No

  N/A

• Clean Graffiti

  Yes

  No

  N/A

• Cobwebs

  Yes

  No

  N/A

• Dumpster Area

  Yes

  No

  N/A

SIGN OFF

• Date / Time

  Date

• Inspectors Signature

  Sign

• Client Signature

  Sign