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• Client/location/site number

• Job Specification (choose many)

  Select Internal External Low Level Windows Cleaning High Level Windows Cleaning Canopy Cleaning Signage Cleaning Fascia Cleaning Jet Washing High Level Dusting

  • Internal
  • External
  • Low Level Windows Cleaning
  • High Level Windows Cleaning
  • Canopy Cleaning
  • Signage Cleaning
  • Fascia Cleaning
  • Jet Washing
  • High Level Dusting

• Frequency

  Select Daily Weekly Fortnightly 4 Weekly Monthly Bi-Monthly Quarterly 4 Monthly 6 Monthly Annual One Off/Ad-hoc

  • Daily
  • Weekly
  • Fortnightly
  • 4 Weekly
  • Monthly
  • Bi-Monthly
  • Quarterly
  • 4 Monthly
  • 6 Monthly
  • Annual
  • One Off/Ad-hoc

• Conducted on

  Date

• Personnel

• Did you have to wait?

  Yes

  No

  N/A

• RAMS Assessment, is it safe to work?

  RAMS has been assessed, safe to continue

  RAMS has been assessed, NOT safe to continue

Cleaning Standards

• Before photos

  Media

• Internal windows and frames cleaned to required specification<br>

  Yes

  No

  N/A

• External windows and frames cleaned to required standard

  Yes

  No

  N/A

GENERAL OBSERVATION

• Completed Photos

  Media

• Was client available to inspect works.

  Yes

  No

  N/A

• Were all areas able to be cleaned? If not please state area and reason why.<br>

  Yes

  No

  N/A

• I hereby confirm this clean has been completed to the set standard and accept any areas uncleaned

  Sign