Inspection

Public Welcome Areas/Waiting Rooms

Floors free of debris & soil (corners clean/baseboards clean)

Windows - Glass free of streaks and finger prints. Sills free of dust and insects

Furniture free of dust/debris/spots

Reception area free of finger prints/dust/debris

Public restrooms #1

Floors free of soil and debris (check corners and baseboards)

Toilet and Sink: free of waste, mineral deposits, outside of bowl clean

Walls/Doors/Partitions/Mirrors - not soiled or dusty. Mirrors Clean

Garbage cans clean - dust free emptied and relined

Paper towels, soap dispensers clean refilled

Comments:

Public Restroom #2

Floors free of soil and debris (check corners and baseboards)

Toilet and Sink: free of waste, mineral deposits, outside of bowl clean

Walls/Doors/Partitions/Mirrors - not soiled or dusty. Mirrors Clean

Garbage cans clean - dust free emptied and relined

Paper towels, soap dispensers clean refilled

Comments:

Public Restroom #3

Floors free of soil and debris (check corners and baseboards)

Toilet and Sink: free of waste, mineral deposits, outside of bowl clean

Walls/Doors/Partitions/Mirrors - not soiled or dusty. Mirrors Clean

Garbage cans clean - dust free emptied and relined

Paper towels, soap dispensers clean refilled

Comments

EXAM/PROCEDURE ROOMS #1

Floors free of soil and debris (check corners and baseboards)

Garbage cans clean - dust free emptied and relined

Work surfaces/cabinets free of fingerprints and dust

Exam Tables fre eof dust and foreign matter. Base free of dust.

Paper towels, soap dispensers clean refilled

EXAM/PROCEDURE ROOMS #2

Floors free of soil and debris (check corners and baseboards)

Garbage cans clean - dust free emptied and relined

Work surfaces/cabinets free of fingerprints and dust

Exam Tables fre eof dust and foreign matter. Base free of dust.

Paper towels, soap dispensers clean refilled

EXAM/PROCEDURE ROOMS #3

Floors free of soil and debris (check corners and baseboards)

Garbage cans clean - dust free emptied and relined

Work surfaces/cabinets free of fingerprints and dust

Exam Tables fre eof dust and foreign matter. Base free of dust.

Paper towels, soap dispensers clean refilled

Office #1

Floors free of debris and soil (corners and baseboards clean). Carpets vacuumed

Furniture free of dust/debris/spots

Garabge cans clean,emptied and relined.

Comments

Office #2

Floors free of debris and soil (corners and baseboards clean). Carpets vacuumed

Furniture free of dust/debris/spots

Garabge cans clean,emptied and relined.

Comments

Office #3

Floors free of debris and soil (corners and baseboards clean). Carpets vacuumed

Furniture free of dust/debris/spots

Garabge cans clean,emptied and relined.

Comments

Overall Comments On Facility

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.