Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Inspector's name (first and last)
Building Experience
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Please grade the look/quality of your buildings interior/exterior upon arrival.
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What is the issue?
- Flooring
- Trash cans
- Elevators
- Seating
- Lighting
- Other
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Please specify issue on building experience.
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What is the issue?
- Flooring
- Trash cans
- Elevators
- Seating
- Lighting
- Other
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Please specify.
Reception
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When considering the cleanliness of the area, please look at air vents, ceilings, flooring, walls, glass, etc. If the area is not clean, a "NO" response will need to include evidence before you are able to complete this audit.
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Is the area free of debris, smudges, spills, etc.?
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What needs to be cleaned?
- Walls
- Whiteboards
- Baseboards
- Carpet
- Hard surface
- Air Vent
- Ceiling
- Glass
- Flooring
- Lighting
- Other
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Please specify 'other' area/ item to be cleaned.
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Are all electronics working properly?
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Which device needs to be fixed?
- Computer
- Keyboard
- Mouse
- Phone
- Printer
- Other
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Please specify 'other' devices.
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Is all sensitive information out of sight from others?
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PLEASE STOP THE AUDIT UNTIL ALL SENSITIVE INFORMATION IS PUT AWAY.
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Is the "Clean Desk Policy" being followed?
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Please tidy up.
Breakroom
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When considering the cleanliness of the area, please look at air vents, ceilings, flooring, walls, glass, etc. If the area is not clean, a "NO" response will need to include evidence before you are able to complete this audit.
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Is the area clean and free of debris?
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What needs to be cleaned/repaired?
- Walls
- Whiteboards
- Baseboards
- Carpet
- Hard surface
- Air Vent
- Ceiling
- Glass
- Flooring
- Lighting
- Other
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Please specify break room 'other' item/ area to be cleaned or repaired.
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Are all necessary items stocked?
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Which items need to be restocked?
- Paper towels
- Soap dispenser
- Hand sanitizer
- Utensils
- Coffee station
- Snacks
- Beverages
- Other
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Please specify 'other' item.
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Are all appliances clean and free of smudges (inside & outside)?
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Which appliances need to be cleaned?
- Sink
- Refrigerator
- Cooler
- Ice Machine
- Dishwasher
- Microwave
- Toaster
- Coffee Machine
- Vending Machine
- Other
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What other 'appliance' in break room needs cleaned?
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Is all furniture clean and free of scratches, tears, etc.?
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Trash cans are at an acceptable level.
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Please notify Porter to take out trash.
Open Workspaces
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Are all areas clean and free of debris?
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What needs to be cleaned?
- Walls
- Whiteboards
- Baseboards
- Carpet
- Hard surface
- Air Vent
- Ceiling
- Glass
- Flooring
- Lighting
- Other
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Please specify open workspaces 'other' item/ area to be cleaned or repaired.
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Is all furniture clean and free of scratches, tears, etc.?
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Are all employees following the "Clean Desk Policy?"
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Please contact your Workplace Manager to address this policy with the employee.
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Does all lighting work?
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Which Workspace location is affected?
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Has every fire extinguisher been checked and in working condition?
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Please complete this.
Collaboration Spaces
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Are all areas clean and free of debris?
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What needs to be cleaned?
- Walls
- Whiteboards
- Baseboards
- Carpet
- Hard surface
- Air Vent
- Ceiling
- Glass
- Flooring
- Lighting
- Other
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Please specify 'other' collaboration space item/ area to be cleaned.
Conference & Meeting Rooms
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Are walls free of scuff marks, spills, and smudges?
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Which Conference/Meeting Room is affected?
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Are carpets clean and free of debris?
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Are the ceiling tiles clean and in place?
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Are all light fixtures in working order?
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Is the furniture free of issues?
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Is all tech functioning?
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Is all glass free of smudges?
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Have the white boards been erased?
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Is the conference room properly stocked?
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Are all trash cans empty?
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Please have Porter empty trash.
Corridors
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Are walls free of scuff marks, spills, and smudges?
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Are walkways clear of debris or obstructions?
Storage Rooms
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Are materials stored in racks and bins wherever possible?
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Are the floors clear of trash?
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Is the appearance of the room considered clean and tidy?
Restrooms
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Are all items stocked?
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What needs to be restocked?
- Paper towels
- Soap
- Mouthwash
- Toilet paper
- Seat covers
- Other
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Please specify 'other' item to restock in restroom.
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Have all trash cans been checked?
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Depending on your site, please notify Porter or alert Building Management.
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Is the area clean and tidy?
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Do faucets turn on and run properly?
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Please alert your Building Engineer.
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Do toilets flush properly?
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Please alert your Building Engineer.
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Are mirrors free of smudges and water spots?
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Please inform your Porter.
Acknowledgement
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Please sign, acknowledging that you have completed this months inspection. Your report will be submitted to the Facility Manager for review.
