Site Report

• Report is to be completed by the site Cleaner at the completion of the service.

Default Details

• Site report conducted on

  Date

• Report prepared by

• Location
  Address

• Commercial grade chemicals are to be used at all times. Clean cloths are to be used. The colour coded cleaning system is to be used. Electrical equipment must hold a current test and tag label.

Cleaner Details

• Name of Principal Contractor or Employer

Site Details

• Site Name

Service Times

• Time cleaning service commenced

  Date

• Time cleaning service completed

  Date

Cleaning Duties

Hygiene Services

• Sanitary bins have been cleaned and bag changed

  Yes

  No

  N/A

• Air deodorisers functioning (check battery, spray timing, condition of unit, mounting)

  Yes

  No

  N/A

Reception and Entrance Areas

• All horizontal surfaces must be wet wiped. All hard floors are to be mopped and vacuumed. All carpet is to be vacuumed thoroughly. All glass is to be cleaned using glass cleaner. All frequently touched surfaces are to be cleaned then sanitised using approved chemicals.

• Confirm cleaning of this area has been completed

  Yes

  No

  N/A

Kitchens and lunchrooms

• All worktops, benches and splashbacks are to be wiped down and disinfected. Hard floors are to be thoroughly swept and mopped. External surfaces of appliances are to be wiped down. Internal surfaces of Microwave ovens are to be cleaned. Sink and plug are to be cleaned and disinfected. All refuse is to be removed and bin liners changed. Tables, chairs and furniture in lunchrooms are to be wiped clean and disinfected.

• Confirm cleaning of this area has been completed

  Yes

  No

  N/A

Bathrooms

• All toilets & urinals cleaned and disinfected including seats and pipework. All sinks, sink units and benches are to be cleaned and disinfected. Mirrors are to be polished. Refuse is to be removed and liners changed. Cubicle doors are to be wiped clean. Hard floors are to be swept and mopped thoroughly. Replace all bathroom paper consumables and soap. Ensure all dust is removed from horizontal surfaces, high level areas and vents.

• Confirm cleaning of this area has been completed

  Yes

  No

  N/A

Office Areas and Meeting Rooms

• Clear desks are to be wiped down. Office equipment is to be dusted. All carpets are to be vacuumed. Hard surface flooring is to be swept and mopped. All touch points, walls, light switches are to be wiped and free form marks and dirt. All dust is to be removed from skirting boards, window ledges, door frames, picture frames and other areas. Furniture is to be wiped/vacuumed clean. All refuse is to be removed. Check for cobwebs and high dusting in all areas periodically.

• Confirm cleaning of this area has been completed

  Yes

  No

  N/A

Common Areas

• All carpets are to be fully vacuumed. Hard surface flooring is to be swept and mopped. All touch points, walls, light switches are to be wiped and free form marks and dirt. All dust is to be removed from window ledges, skirting boards, door frames, picture frames and other areas. Furniture is to be wiped/vacuumed clean. All refuse is to be removed. Check for cobwebs and high dusting in all areas periodically.

• Confirm cleaning of this area has been completed

  Yes

  No

  N/A

Meeting Rooms

• Tables and chairs are to be wiped down. Office equipment is to be dusted. All carpets are to be vacuumed. Hard surface flooring is to be swept and mopped. Touch points, walls, light switches are to be wiped and free form marks and dirt. All dust is to be removed from skirting boards, window ledges, door frames, picture frames and other areas. All refuse is to be removed. Check for cobwebs and high dusting in all areas periodically.

• Confirm cleaning of this area has been completed

  Yes

  No

  N/A

External Areas

• Entrance areas: Free from litter, leaf debris and dirt. Check entrance areas for dead insects, cobwebs and remove. Check for litter around perimeter of building and to boundary line if agreed. Car park areas should be checked for fuel spillages and insect infestation issues.

• Smokers areas: Check and empty bins. Sweep area to remove excess build up of dirt. Clean shelter if in schedule.

• Confirm cleaning of this area has been completed

  Yes

  No

  N/A

Safety and Compliance

Personal Protective Equipment (PPE)

• Are all Cleaners wearing disposable nitrile or latex gloves during the entire service?

  Yes

  No

  N/A

• Are all Cleaners wearing a face mask during the service?

  Yes

  No

  N/A

Uniforms and Appearance

• All Cleaners wearing uniforms

  Yes

  No

  N/A

• All Cleaners wearing company Id

  Yes

  No

  N/A

• All Cleaners wearing enclosed footwear

  Yes

  No

  N/A

• All Cleaners present neat and tidy appearance

  Yes

  No

  N/A

Electrical Test and Tag

• Electrical equipment must have a valid test and tag certification every 6 months. If the test and tag is out of date or if any equipment is not in good working order you must fix this immediately.

• Electrical equipment test and tag is current

  Yes

  No

  N/A

• Electrical equipment is in good working order

  Yes

  No

  N/A

Chemicals

• Commercial grade chemicals are used at all times

  Yes

  No

  N/A

• Safety Data Sheets (SDSs) are left on site for all chemicals used

  Yes

  No

  N/A

• All chemical bottles are correctly labelled

  Yes

  No

  N/A

• Chemicals are used at the correct dilution rates

  Yes

  No

  N/A

Cleaners Storage Room and Equipment

• Cleaner's room is neat, tidy and clean

  Yes

  No

  N/A

• Cleaning equipment is clean and in good working order

  Yes

  No

  N/A

• COLOUR CODED CLEANING SYSTEM
  
  To ensure the risk of cross-contamination does not occur through our cleaning services we use a Colour Coded Cleaning System which ensures that cloths, mops, and buckets are colour coded and only used for their specific purpose.
  
  ** Please note - Some floors may require a WHITE mop head with corresponding coloured handle **

  

• Colour coded cleaning system is being used

  Yes

  No

  N/A

Site File and Communications Book

• The Cleaner is responsible for ensuring the site file contains the Safety Data Sheets (SDSs) for all chemicals being used on site even if the chemicals are not stored on site. If there are no SDSs, or the SDSs are out of date, or some SDSs are missing, you must rectify this immediately.

• SDS for each chemical is in the site file

  Yes

  No

  N/A

• Site file is available

  Yes

  No

  N/A

• Communications book is available

  Yes

  No

  N/A

• Cleaner has read communications book before commencing the service and has responded to requests

  Yes

  No

  N/A

• Do you have any safety concerns?

• Do you have any questions about the site scope of work (specifications)?

• By submitting this site report you agree that:
  - you have attended this site and completed the service
  - information is true and correct

• Name and Signature of Cleaner

  Sign