seapoulson

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Common area

• Empty trash

  Yes

  No

  N/A

• Dust / mop all hard surface floor

  Yes

  No

  N/A

• Vacuums all carpets

  Yes

  No

  N/A

• Dust all visible surface

  Yes

  No

  N/A

• Clean all glass doors and visible glass, remove finger and smudges

  Yes

  No

  N/A

Restrooms

• Empty Wastebaskets

  Yes

  No

  N/A

• Clean and disinfect sinks, counters tops, toilets, urinals.

  Yes

  No

  N/A

• Sweep and mop floors

  Yes

  No

  N/A

• Refill supplies

  Yes

  No

  N/A

Building Exterior

• Remove all trash from sidewalks and parking area and around dumpsters

  Yes

  No

  N/A

• Empty and clean ashtrays; empty wastebaskets in front and bake areas

  Yes

  No

  N/A

• Pictures of any problem areas

  Media

• Auditor

  Sign