Information

  • Client / Site

  • Conducted on

  • Prepared by

General Appearance

  • 1. Jambs - Switches

  • 2. Pushplates - Kickplates

  • 3. Marks on Doors/Walls

  • 4. Front of Desks

  • 5. Desktops and Phones

Windows

  • 6. Entrance Glass

  • 7. Exterior Glass

  • 8. Partition Glass

  • 9. Ledges and Frames

Dusting

  • 10. Ceiling and Door Vents

  • 11. Picture Frames

  • 12. Desks, Shelves, and File Cabinets

  • 13. Furniture Bases

  • 14. Paneling and Sides of File Cabinets

  • 15. Baseboards

Vacuuming

  • 16. Edges and Corners

  • 17. Under Furniture

  • 18. Behind Doors

  • 19. Overall Effectiveness

  • 20. Spotting

Dust Mopping

  • 21. Corners and Edges

  • 22. Under Furniture

  • 23. Behind Doors

  • 23. Overall Quality

Tile Floor

  • 25. Overall Shine

  • 26. Spot Mopping

  • 27. Corners and Edges

  • 28. Baseboards

Scrubbing and Scrapping

  • 29. Thresholds

  • 30. Transition Strips

  • 31. Door Bottoms

  • 32. Baseboards and Base Tile

  • 33. Door Frame Bottoms

Restrooms

  • 34. Mirrors, Sinks, and Dispensers

  • 35. Walls and Partitions

  • 36. Bowls and Urinals

  • 37. Baseboards and Behind Toilets

  • 38. Floors

Miscellaneous

  • 39. Trash Cans

  • 40. Equipment Care

  • 41. ISS Uniform

Janitor Closets

    Click "Add" to Evaluate a Closet
  • Closet Number or Location

Safety

  • SDS Book

  • First Aid Kit

  • Axiom Poster

  • US Health Works Poster

  • Safety Campaign Posters

  • Properly Labeled Bottles

  • Cleared Front of Electric Panels to 3 ft?

  • Cleared Around Water Heaters?

Appearance

  • Clean

  • Organized

  • Take Photo of Closet

Comments

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  • Corrected by Date:

  • Add media

Signatures

  • Supervisor:

  • Employee:

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.