Title Page

  • Conducted on

  • Prepared by

Inspection Details

  • Building Number

  • Area

  • Assigned Cleaner

  • Inspected By

Task 1 Trash & Recycling

  • Trash and recycling containers emptied.

  • Containers wiped and relined.

  • Spills and smudges from surrounding walls removed.

  • Comments:

Task 2 Restocking

  • Bounty and toilet tissue restocked.

  • Hand soap refilled.

  • Other supplies restocked.

  • Comments

Task 3 High/Low Dusting

  • Ledges, window sills, corners and surfaces up to 5’ dusted.

  • Surfaces beyond 5’ dusted.

  • Periodic dusting completed.

  • Comments:

Task 4 Surface Sanitizing/ Wiping

  • Frequently touched surfaces sanitized.

  • Glass doors/ Doors and handles wiped.

  • Stainless steel wiped and polished.

  • Appliances, tables, countertops and other horizontal surfaces wiped and sanitized.

  • Fixtures, sinks, and countertops wiped and sanitized.

Task 5 Carpeted Floors

  • Walk-off mats vacuumed.

  • Carpets vacuumed including corners, ledges, and beneath furniture.

  • Carpet stains removed.

  • Carpet extraction needed.

Task 6 Floors

  • Floors dust mopped including corners, ledges, and beneath furniture, if accessible.

  • Floors wet mopped daily/nightly in break rooms, restrooms, and other common areas.

  • Floors wet mopped as indicated in wet mopping schedule.

  • Corners, ledges, baseboards, and under walk-off mats wet mopped.

  • Floor polishing or strip and wax needed.

Safety & General Housekeeping

  • Employees observed following safety procedures and wearing PPE.

  • Employees wearing BRAVO uniform.

  • Employees utilizing proper tools and equipment for the job in hand.

  • Janitor’s closets clean, in order, and well-restocked. No storing boxes and heavy items on top shelves.

  • Approved chemicals being used, labeled bottles and updated SDSs available.

  • Equipment clean and in good condition. No frayed cords or missing prong.

  • Wet Floor signs being used when required.

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.