Public Amenities - Mainland Cleaning Inspection

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Site Name and Number

• Joint Inspection

Matrix - 1 = Not Cleaned, 2 = Poorly Cleaned, 3 = Acceptable, 4 = Good, 5 = Exceeds Expectations

External

• Are the entrances clean and free of litter?

  1

  2

  3

  4

  5

• Is the external concrete paths and hard stand areas clean and clear of leaves?

  1

  2

  3

  4

  5

• Additional Information or comments

Internal

• Are the walls, cubicle doors and handles free from dirt, dust, marks, stains and cobwebs?

  1

  2

  3

  4

  5

• Are the hand basins clean?

  1

  2

  3

  4

  5

• Are the floors clean?

  1

  2

  3

  4

  5

• Are toilet roll dispensers cleaned and stocked?

  1

  2

  3

  4

  5

• Additional Information or comments

Toilets / Urinals (Male and Female)

• Is the urinal clean and free from odours?

  1

  2

  3

  4

  5

• Are the toilet bowls, seats and lids clean and free from odour?

  1

  2

  3

  4

  5

• Are toilets, surfaces and fittings free from any evidence of bodily waste?

  1

  2

  3

  4

  5

• Are floors free from any puddling?

  1

  2

  3

  4

  5

• Additional Information or comments

Showers

• Are the shower, floor, surfaces and fittings clean?

  1

  2

  3

  4

  5

Building Maintenance

• Add media

  Media

• Additional Information or comments

CONCLUSION

• Inspection Period?

  Morning

  Afternoon

  Evening

  Night Shift

• General Score 0 = Poor, 5 = Average, 10 = Excellent

• Sketch or write additional information if required

  Drawing

• Additional comments or information

Please sign off the report to complete the inspection

• Townsville City Council representative signature

  Sign

• Service Provider signature (only on joint inspections)

  Sign

• Date and Time of Audit

  Date