Remote Site Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Interior

• Window Leaks/Cracks

  Yes

  No

  N/A

• Window Blind in Need of Repair (List Below)

  Yes

  No

  N/A

• Wall Repairs / Painting

  Yes

  No

  N/A

• Rubber Wall Base in Need of Repair

  Yes

  No

  N/A

• Doors / Door Casings

  Yes

  No

  N/A

• Door Closures / Latches

  Yes

  No

  N/A

• Carpet Cleaning/ Repair

  Yes

  No

  N/A

• Hard Surface Flooring Clean/ Repair

  Yes

  No

  N/A

• Badge Readers Working Properly

  Yes

  No

  N/A

• Exit Lighting

  Yes

  No

  N/A

• Interior Lighting / Light Bulbs

  Yes

  No

  N/A

• Lighting Motion Sensor

  Yes

  No

  N/A

• Receptacle Cover Plates Missing

  Yes

  No

  N/A

• Stairways Used as Storage

  Yes

  No

  N/A

• Stair Tread in Bad Condition

  Yes

  No

  N/A

• Do any Safety Hazards Exist

  Yes

  No

  N/A

• Pest Issues

  Yes

  No

  N/A

Conf Rooms

• White Glass Boards Dirty (cleaned on Friday)

  Yes

  No

  N/A

• Whiteboard Ledge Missing

  Yes

  No

  N/A

• Markers/Eraser Missing

  Yes

  No

  N/A

• Table Surface Dirty

  Yes

  No

  N/A

• Purell Wipes Unavailable

  Yes

  No

  N/A

• The door does not Operate Properly

  Yes

  No

  N/A

• Glass Is dirty or is Smudged

  Yes

  No

  N/A

• Any Foul Odor in Room

  Yes

  No

  N/A

• Light Switch Not Working

  Yes

  No

  N/A

• Are Overhead Lights Not Functional

  Yes

  No

  N/A

• Cracked/Broken/Dirty Ceiling Tiles

  Yes

  No

  N/A

• Flooring is dirty and/or in bad Condition

  Yes

  No

  N/A

• Wall Monitor/Equip not Working

  Yes

  No

  N/A

• Table Cords are unorganized

  Yes

  No

  N/A

• HVAC Ventilation & Temperature Bad

  Yes

  No

  N/A

• Items Left Inside Room (Need Removal)

  Yes

  No

  N/A

• Electrical Outlet Covers not in Place

  Yes

  No

  N/A

• Wall Damage Present/Painting Needed

  Yes

  No

  N/A

• Uncorrect Number of Chairs Room

  Yes

  No

  N/A

• Chairs in Need of Repair

  Yes

  No

  N/A

• Tables in Need of Repair

  Yes

  No

  N/A

• Any Safety Hazards Exist

  Yes

  No

  N/A

Breakroom Area

• Microwave does not Working

  Yes

  No

  N/A

• Coffee Machine Does not work

  Yes

  No

  N/A

• Ice/Water Dispenser Does not work

  Yes

  No

  N/A

• Refrigerator does not Work as Designed

  Yes

  No

  N/A

• Kitchen Accessories Are not Stocked

  Yes

  No

  N/A

• Cabinet Doors Do not Function Properly

  Yes

  No

  N/A

• Countertop Condition bad

  Yes

  No

  N/A

• Countertop Needs Caulking

  Yes

  No

  N/A

• Kitchen Faucet / Drain Does not Flows

  Yes

  No

  N/A

• Any Leaks

  Yes

  No

  N/A

• Wall Condition/ Backsplash bad

  Yes

  No

  N/A

• Floor Condition bad

  Yes

  No

  N/A

• Trash Receptacles Full or missing

  Yes

  No

  N/A

• GFCI Outlet not Tested

  Yes

  No

  N/A

• Any Safety Hazards Present

  Yes

  No

  N/A

Work Stations

• Chair Missing at any Desk

  Yes

  No

  N/A

• Lights Not Working Properly

  Yes

  No

  N/A

• Ceiling Tiles have Stains/Damage

  Yes

  No

  N/A

• Cubical Partitions not in Place and Secure

  Yes

  No

  N/A

• Emergency Pathways Unclear

  Yes

  No

  N/A

• Any Trip Hazards Present

  Yes

  No

  N/A

• Empty Boxes or Cardboard to Disgard

  Yes

  No

  N/A

• Carpet/Flooring Bad

  Yes

  No

  N/A

• Condition of Corridor Walls Bad

  Yes

  No

  N/A

• Cubical Address Not Visible

  Yes

  No

  N/A

• Exit Signs not Visible

  Yes

  No

  N/A

• Emergency Exit Route not in Place

  Yes

  No

  N/A

• Fire Sprinkler Caps Not in Ceilings

  Yes

  No

  N/A

• Window Cleaning on Exterior Glass Dirty

  Yes

  No

  N/A

• Wayfind Address Signage missing

  Yes

  No

  N/A

Restrooms

• Restroom Accessories missing

  Yes

  No

  N/A

• Toilet Partitions (Walls/Doors/Locks) bad condition

  Yes

  No

  N/A

• Flooring Condition bad

  Yes

  No

  N/A

• Wall Condition bad

  Yes

  No

  N/A

• Mirrors and Signage Missing/Dirty

  Yes

  No

  N/A

• ADA Accessibility Blocked (Large Stall)

  Yes

  No

  N/A

• Valve Access Panels not in Place and Locked

  Yes

  No

  N/A

• Urinal Flush and Drain Bad condition

  Yes

  No

  N/A

• Toilet Flush and Drain Poorly

  Yes

  No

  N/A

• Lavatory Faucets for Flow poorly

  Yes

  No

  N/A

• Lavatory Drains need attention

  Yes

  No

  N/A

• Any Leaks Present (Toilet, Urinal, Faucets, Drains)

  Yes

  No

  N/A

• Art Work/Decorative Pieces not in place

  Yes

  No

  N/A

• Floor Drain Odor Present

  Yes

  No

  N/A

• Restroom Exhaust Fans not Working Properly

  Yes

  No

  N/A

• Caulking Issues Present

  Yes

  No

  N/A

• Any Safety Hazards Exist

  Yes

  No

  N/A

Janitorial Audit

• BUILDINGS ENTRANCES/LOBBIES Lobbies and entrances do not appear as expected per SLA from observed dust levels, stains, and smudges on windows, flooring, and furniture. Trash recepticles full.

  Yes

  No

  N/A

• MAIN TRAFFIC CORRIDORS Main traffic areas do not appear as expected per SLA from observed dust, debris, and smudges on carpet, flooring, ledges, stairways, wall fixtures, and handrails.

  Yes

  No

  N/A

• CARPET/HARD SURFACE FLOORING Floors do not appear as expected per SLA based on observed stains and debris (age of carpet needs to be considered when auditing)

  Yes

  No

  N/A

• CUBE/OFFICE CLEANING Cube and Office Cleaning do not appear as expected per SLA based on observed trash being emptied, dust levels and furniture orientation

  Yes

  No

  N/A

• RESTROOMS Restrooms do not appear as expected per SLA based on observed smudges, level of dust, odor, mirrors, partitions, urinals, toilets, drains, fixtures, and all horizontal and vertical surfaces. Stocking level of dispensers and deodorizers; trash has been emptied

  Yes

  No

  N/A

• CONFERENCE ROOMS Conference rooms do not appear as expected from the MSA based on observed level of dust, debris, smudges on chairs, tables, white boards and other furniture

  Yes

  No

  N/A

• CAFETERIA/DINING AREAS Cafeterias/Dining areas do not work appear as expected from the MSA based on observed stains and debris on carpet and flooring. Orientation and cleanliness of chars and tables. Is there evidence of continuous spill cleanup and stain or soil removal. Trash receptacles have been emptied

  Yes

  No

  N/A

• DOCK AREAS (INTERIOR & EXTERIOR) Dock Areas (interior and exterior) do not appear as expected from the MSA based on observed debris or items stored inside shipping/receiving area and around dock doors. Trash cans have been emptied. Pallets on the dock are safely stacked

  Yes

  No

  N/A

• ELEVATORS/STAIRWELLS Elevators/ Stairwells do not appear as expected from the MSA based on observed dust, debris, smudges on stainless steel, elevator panels, dirt on carpets and elevator tracks

  Yes

  No

  N/A

• PATIOS & SMOKING AREAS Patios and smoking areas do not appear as expected from the MSA based on observed cleanliness of tables and chairs, trash cans have been emptied and orientation of tables and chairs

  Yes

  No

  N/A

• JANITORIAL CLOSETS Janitorial Closets do not appear as expected from the MSA based on observed organization of supplies and equipment, chemicals are labeled in accordance with proper codes and no fire code violations

  Yes

  No

  N/A

• FITNESS CENTER Fitness center do not appear as expected from the MSA based on cleanliness of glass and mirror surfaces and equipment

  Yes

  No

  N/A

• MOTHER'S ROOMS/HEALTH SERVICE AREAS Mother's Rooms/Health Service Areas do not appear as expected from the MSA based on observed cleanliness of all equipment including refrigerators, microwaves and all horizontal and vertical surfaces.Refrigerator cleaning schedule posted

Pest Management Audit

• Exterior monitoring devices are not placed at intervals of 50-100 ft. along the foundation walls on the exterior of the facility. All devices are inspected at least monthly. These devices are checked more often when activity levels increase

  Yes

  No

  N/A

• Exterior bait stations that contain rodenticides are not locked. Exterior bait stations are not tamper resistant and are anchored in place, locked, and labeled. Only baits approved by the regulatory body with authority for PM (e.g.EPA in the United States) are used

  Yes

  No

  N/A

• Interior monitoring devices are not placed in sensitive areas specific to the rodent species, and other areas of pest activity. Devices are placed along perimeter walls at intervals of 20 40 ft. Devices are positioned correctly and clean

  Yes

  No

  N/A

• Insect light traps are Not installed farther than 10 ft. from critical areas and in a way that does not attract insects to the facility. Service checks are performed on all units on a weekly basis during the active season and a monthly basis during colder seasons or as dictated by climate. Note: Shatterresistant lights are used in all units

  Yes

  No

  N/A

• This site survey will not identify if measures must be taken to prevent wildlife from establishing habitat on the facility grounds or in the facility. Wildlife control measures include wire, netting, distracting devices, repellents, or materials that prevent entry

  Yes

  No

  N/A

Landscaping Audit

• LAWN CARE - Turf grass appears unhealthy and not full at all times, notfree of pests, diseases and rodents. Some variation in grass height may be evident except during fastest-growing season. All turf perimeter borders, meter boxes and other in-turf structures neatlytrimmed at all times, no clumping on grass areas, clippings are removed from sidewalks, beds, water features and roadways after mowing.

  Yes

  No

  N/A

• WEED CONTROL - Are weeds present? Planters, turf areas, sidewalks (cracks), curbs, parking pavement should not have weeds. Aggressive weeds must be controlled and obvious infestations must be prevented.

  Yes

  No

  N/A

• SEASONAL FLOWERS - Flowers are generally unhealthy and unattractive and beds are full with minimal gaps.

  Yes

  No

  N/A

• HEALTH OF PLANT MATERIAL- Vegetation has generally unhealthy appearance and no signs of reseeding, weeding/treating, aerating, fertilizing, and watering is performed regularly.

  Yes

  No

  N/A

• IRRIGATION - Irrigation does not minimizes evaporation and run-off.

  Yes

  No

  N/A

• CLEAN-UP - No Clean-up after work (grass, bark, fertilizer, etc.)

  Yes

  No

  N/A

• TRAILS - Is the buffer zone missing? Maintains a buffer zone on each side and above trails for walking, hiking and mountain biking.

  Yes

  No

  N/A

• WALKING TRAILS - Trails have rough grade made up of decomposed granite and have weed. Trails should be smooth. Identify any safety hazards or areas requiring maintenance.

  Yes

  No

  N/A

• HORSE TRAILS - Is the buffer zone missing? Maintains a buffer zone around fence. Ensure all fence lines are intact and report any damage/openings for repair.

  Yes

  No

  N/A

• GARDENS (BUTTERFLY AND DOOLIN). Are the gardens not upkeep? Garden season runs April through October each year. Check for overall health and appearance of plantings.

  Yes

  No

  N/A

• OTHER - Hardscape areas may show some signs of soil, grass, debris, leaf staining or non-slippery moss. Animal waste and other debris must not be allowed to present slip or trip hazards or health risk.

  Yes

  No

  N/A

• TREES - Trees are not pruned for balanced canopy, structurally sound tree. Identify any tree(s) in need of maintenance/removal due to hazard.

  Yes

  No

  N/A

• TRMMING - Trim areas not clear around cameras,signage, fire hydrants, and sight-lines.

  Yes

  No

  N/A

• MULCHING - Planters, turf areas, sidewalks (cracks), curbs, parking pavement and buffer areas around bldgs. are not weed free. Aggressive weeds must be controlled and obvious infestations must be prevented.

  Yes

  No

  N/A

• INTERIOR PLANTS - Plants show signs of in proper watering, signs of dead or browning leaves/branches. no signs of insects,pots/containers are free of cracks, clean and in good condition, containment trays do not have standing water.

  Yes

  No

  N/A

• SNOW REMOVAL - Roads and walkways are build-up. Removal of the areas should be cleared prior to employee arrival or within 1 hour of start of snow fall. All egress and emergency exits are shoveled and kept clear and free of ice, snow holdbacks are in-place & proper secured. Appropriate efforts are taken to minimizing any and all safety hazards.

  Yes

  No

  N/A

Exterior Audit

• HAZARDS - Roads, sidewalks, patios, curbs, cement and blacktop pavements are not clear of obstructions, hazardous conditions or standing water.

  Yes

  No

  N/A

• SIGNAGE - Pavement markings and ground signage are not clearly visible for safety and compliance.

  Yes

  No

  N/A

• WALLS & FOUNDATION - Areas not clear of vegetation and free from mold/mildew. Any signs of cracks, flaking or damaged masonry/mortar and exterior walls.

  Yes

  No

  N/A

• PARKING LOTS - Striping, concrete pavement, signage in bad condition.

  Yes

  No

  N/A

• LIGHT POLES - Fixtures and base plates are in bad condition.

  Yes

  No

  N/A

• FLAG POLES - Flags are dirty and have rips or wear and tear.

  Yes

  No

  N/A

• SEALANT - is sealant in bad condition? Checked sidewalks and building for any failed sealant that needs to be replaced.

  Yes

  No

  N/A

• DOORS - Exterior doors are not working properly and are not sealed properly (no gaps).

  Yes

  No

  N/A

• LOADING DOCKS - Trench drain covers are in bad condition and are not clear inside of leaves and other debris.

  Yes

  No

  N/A

• HANDRAILS - Handrails are not secure and well maintained.

  Yes

  No

  N/A

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