Site Survey

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

GENERAL

• Site contact for further information

• Building Use (Primary)

  Select Education Office Healthcare Industrial Warehouse Retail Other

  • Education
  • Office
  • Healthcare
  • Industrial
  • Warehouse
  • Retail
  • Other

• Please give details

Architectural Features

• Details of any architectural features which may require training or specialists to clean or maintain

• Hours of Operation (weekdays)

• Hours of Operation (weekends)

• Number of Occupants

• Square Footage

• Flooring Type

• Is the condition of the flooring generally good?

  Yes

  No

  N/A

• Hard Floor (approx %)

• Carpet (approx %)

• Is there parking available to our staff?

  Yes

  No

  N/A

• Location of waste collection point

• Frequency of collections

• Day of collections

STORAGE / CONSUMABLES

• Are the cleaning cupboards lockable?

  Yes

  No

  N/A

• Do the cleaning cupboards contain butler sinks?

  Yes

  No

  N/A

• Is there good provision for consumable storage?

  Yes

  No

  N/A

• Is there a loading bay or similar for deliveries?

  Yes

  No

  N/A

• Additional details on deliveries

• Is there good provision for storing cleaning equipment?

  Yes

  No

  N/A

CLIENT

• Client's FM strategy

• Reason for going to tender?

• Type of business

• Is the client based on site?

  Yes

  No

  N/A

SUSTAINABILITY INFORMATION

• Is the waste segregated?

  Yes

  No

  N/A

• Is data on waste segregation being captured?

  Yes

  No

  N/A

• What are their targets?

• Are these targets being met?

  Yes

  No

  N/A

• Knowledge of sustainability issues

• Concerns

• Recycling culture amongst occupants

PERSONNEL INFORMATION

• Number of cleaning personnel

• Number of cleaning hours per day

• Number of cleaning hours per week

• Is the cleaning conducted during the day?

  Yes

  No

  N/A

• Are there any prohibitory to this?

  Yes

  No

  N/A

• Are there cleaners in a union?

  Yes

  No

  N/A

• What is the security clearance procedure for new starters?

• Are there any building / tasks hazards requiring specialised PPE?

  Yes

  No

  N/A

• Can the VINCI logo be displayed?

  Yes

  No

  N/A

• Are there any cultural issues that would need to be addressed for the staff?

  Yes

  No

  N/A

EQUIPMENT INFORMATION

• Are there large areas of floor space, potentially requiring "ride-on" equipment?

  Yes

  No

  N/A

Specialist Kit Requirements: List of equipment owned by the client

• Add a machine

• Machine Name

• Manufacturer

• Use

• Maintained by

• Frequency of maintenance

• Condition of machine (1-10)

• Date of last PAT

  Date

• Add a machine

• Machine Name

• Manufacturer

• Use

• Maintained by

• Frequency of maintenance

• Condition of machine (1-10)

• Date of last PAT

  Date

• Add a machine

• Machine Name

• Manufacturer

• Use

• Maintained by

• Frequency of maintenance

• Condition of machine (1-10)

• Date of last PAT

  Date

• Add a machine

• Machine Name

• Manufacturer

• Use

• Maintained by

• Frequency of maintenance

• Condition of machine (1-10)

• Date of last PAT

  Date

• Add a machine

• Machine Name

• Manufacturer

• Use

• Maintained by

• Frequency of maintenance

• Condition of machine (1-10)

• Date of last PAT

  Date

• Add a machine

• Machine Name

• Manufacturer

• Use

• Maintained by

• Frequency of maintenance

• Condition of machine (1-10)

• Date of last PAT

  Date

PEST CONTROL INFORMATION

• Is there any history of pest problems on site?

  Yes

  No

  N/A

• Details:

• Additional spend:

• Have the kitchens got insecutors?

  Yes

  No

  N/A

• Current contract specification: Pest species

• Current number of monthly visits

• Does the site require 8 / 10 / 12 visits per annum?

• Is there a canteen / on site catering?

  Yes

  No

  N/A

• Is this area our responsibility?

  Yes

  No

  N/A

• Is this site in close proximity to a risk site (in terms of potential pest invasion). For example: Food outlets, Waterways or Vacant Property?

  Yes

  No

  N/A

• Details:

• Number of baits per floor?

• Number of external baits?

• Access restrictions: Can all areas of the buildings be serviced during core working hours?

• Areas that currently receive under floor or ceiling void baiting? (Any other out of hours requirements)

WASHROOM SURVEY INFORMATION

• WASHROOM 1 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add Washroom

• WASHROOM 2 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add Washroom

• WASHROOM 3 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add Washroom

• WASHROOM 4 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 5 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 6 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 19 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 19 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 7 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 8 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 9 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 10 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 11 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 12 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 13 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 14 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 15 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 16 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 17 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 18 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 19 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

• Add washroom

• WASHROOM 20 - Location

• Type

  Select Female Male Unisex Disabled Unisex Disabled Female Disabled Male Parent & Baby

  • Female
  • Male
  • Unisex
  • Disabled Unisex
  • Disabled Female
  • Disabled Male
  • Parent & Baby

• Number of cubicles

• Number of basins

• Number of showers

• Current cleaning standard. (0 unacceptable, 5 exceeds expectations)

• Add media

  Media

• Hand drying provision

  Select Hand Dryer Paper Towel Dispenser Roller Towel Dispenser

  • Hand Dryer
  • Paper Towel Dispenser
  • Roller Towel Dispenser

• Make and model (if known)

• Quantity

• Toilet Paper Dispensers/Holders

  Select single sheet roll

  • single sheet
  • roll

• Make and model (if known)

• Quantity

• Hand Soap

  Select foam soap liquid soap bar soap

  • foam soap
  • liquid soap
  • bar soap

• Soap product

• Make and model of dispenser (if known)

• Quantity

• Are there any sanitary bins?

  Yes

  No

  N/A

• Make and model of dispenser (if known)

• Quantity

• Contract maintained by:

• Are there any vending machines?

  Yes

  No

  N/A

• Make and model (if known)

• Quantity

• Contract maintained by:

• Number of general waste bins

• Number of nappy bins

• Number of urinals in this washroom

• Type of flushing system

• Flush frequency

• Additional information

WINDOW CLEANING

External Glazing

• Location of access information

• Type of access system

  Eyebolt

  Mansafe

  Other

• Date of last certification

  Date

• Renewal Date

  Date

• Access times

  Select In office hours Out of office hours

  • In office hours
  • Out of office hours

• Do the window cleaners need to be escorted?

  Yes

  No

  N/A

• Frequency of external window cleaning

  Select Daily Weekly Monthly Quarterly Biannually Annual

  • Daily
  • Weekly
  • Monthly
  • Quarterly
  • Biannually
  • Annual

Internal Glazing

• Are there any glass atriums or difficult to access areas?

  Yes

  No

  N/A

• Location of access information

• Type of access system

  Eyebolt

  Mansafe

  Other

• Date of last certification

  Date

• Renewal Date

  Date

• Access times

  Select In office hours Out of office hours

  • In office hours
  • Out of office hours

• Do the window cleaners need to be escorted?

  Yes

  No

  N/A

• Frequency of internal window cleaning

  Select Daily Weekly Monthly Quarterly Biannually Annual

  • Daily
  • Weekly
  • Monthly
  • Quarterly
  • Biannually
  • Annual

GROUNDS MAINTENANCE

• Size of grounds (acres)

• Endangered or protected species of plants or animals known to be in the grounds

• Please give details

• Is snow clearance required?

  Yes

  No

  N/A

• Is road or path gritting required?

  Yes

  No

  N/A

Weeds

• History of weeds in the grounds

• Is an exterior weed spray needed?

  Yes

  No

  N/A

• With what frequency?

  Select Daily Weekly Monthly Quarterly Biannually Annual

  • Daily
  • Weekly
  • Monthly
  • Quarterly
  • Biannually
  • Annual

Trees

• Are there any trees on the grounds?

  Yes

  No

  N/A

• How many?

• Is tree work included in our spec?

  Yes

  No

  N/A

• Do any of the trees gave preservation orders on them?

  Yes

  No

  N/A

Internal planting

• Approximate number of internal plants

• Condition

• Frequency of maintenance

  Select Daily Weekly Monthly Quarterly Biannually Annual

  • Daily
  • Weekly
  • Monthly
  • Quarterly
  • Biannually
  • Annual

• Are internal plants maintained by the client?

  Yes

  No

  N/A

• Diagrams

  Drawing

• Date of bid submission deadline

  Date

• Notes

• Signed

  Sign