PWCS Facilities Cleanliness Evaluation - Grounds Only

• Prince William County Public Schools Office of Facilities Services Facility Management Division Facilities Cleanliness Evaluation

• Conducted on

  Date

• Prepared by PWCS Facilities Services

• Location
  Address

• Insert name of school here

• Cleaning evaluation will fail if 80% or less areas/items are satisfactory/meets PWCS cleaning standards

Outside Custodial Equipment Shed

• Condition of Equipment

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Equipment Properly Stored?

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Cleanliness/Care of Custodial Equipment

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

Grounds/Playground/Bleachers

• Bleachers/Press Box

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Entrance Ways

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Fences

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Grass

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Playground Equipment

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Sidewalks

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Storage Shed/Tractor Shed

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Trash Cans/Dumpsters/Litter

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Wood Fibar on Playgrounds

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

Outside Bathroom Facilities

• Dispensers/Hand Dryers/Sanitary Napkin

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Ceilings/Vents

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Floor Drain

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Floor/Baseboards/Corners

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Lighting Fixtures

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Sinks

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Toilets

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Urinals

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Walls/Doors/Partitions/Stalls

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

Landscaping

• Mulched Beds

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Edging

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Hedges & Shrubs

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Trees

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

Parking Lots

• Curbs & Gutters

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Parking Blocks

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Parking Areas

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Islands

  Satisfactory

  At Risk

  Unsatisfactory

  N/A

• Place for General Comments

• Name of Inspector

  Sign