Sr temp

Title Page

Site
Date
Name
Location / department

Report detail

Action categories
- Service Team
- Management
- Administration
- Customer
- Health & Safety
- Other

Service Team action

Please select service type
- Stock report
- Equipment check / report
- pre start check
- general / task report
- customer request
- Customer Satisfaction
- time sheet
- CW3
- Cleaning Inspection
- Service Team Complaint

Stock Items

Stock location
Date / Time
Please confirm current stock levels
Please confirm stock requirements (leave blank if no additional stock required)
Please confirm the stock room has a copy of the cleaning playbook
Confirm the cleaners stock room (including all equipment) is clean and tidy and in good condition.

Confirmation

Signature

Please ensure your stock room is clean and tidy - if it is not you must contact your line manager immediately

Please confirm you have taken the necessary action by print / date / and signing this report.
Inspection carried out by
Date / time
Details of Inspection / Task
Any further actions required
List further actions
Sign to confirm completion of task / service as to the required specification.

Equipment inspection / check

Name
Equipment location
Date / Time
Equipment type
- manual equipment
- Powered equipment

Manual equipment inspection checklist

List item(s) inspected
List all items that are in a poor condition and/or are unsafe to use (leave blank if not applicable)

You must not use any item in poor condition and / or unsafe to use - please sign below to confirm you have removed the item from use and have contacted your line manager

Signature

Powered equipment inspection

List item of powered equipment inspected (including serial number)
Does the item (including battery charging units) have a valid PAT Test label (select n/a for battery powered equipment )

You must take immediate action

Do not use the piece of equipment - lock the unit away and display a warning notice - contact your line manager.
Sign to confirm you have removed the item from service and contact your line manager.

Visual inspection

Have you identified any faults from a visual inspection of the equipment (including cracks/chips/punctures/holes in the external housing of the unit and/or any exposed/damaged wiring)

You must take immediate action

Do not use the piece of equipment - lock the unit away and display a warning notice - contact your line manager.
Sign to confirm you have removed the item from service and contact your line manager.

General condition

Does the unit appear in good condition and operate correctly.

You must take immediate action

Do not use the piece of equipment - lock the unit away and display a warning notice - contact your line manager.
Sign to confirm you have removed the item from service and contact your line manager.

The equipment is safe to use - make sure it is left clean and in a usable condition - is neatly & securely stored after use.

Signature

Visual inspection

Have you identified any faults from a visual inspection of the equipment (including cracks/chips/punctures/holes in the external housing of the unit and/or any exposed/damaged wiring)

You must take immediate action

Do not use the piece of equipment - lock the unit away and display a warning notice - contact your line manager.
Print / date / sign to confirm you have removed the item from service and contact your line manager.

General condition

Does the unit appear in good condition and operate correctly.

You must take immediate action

Do not use the piece of equipment - lock the unit away and display a warning notice - contact your line manager.
Print / date / sign to confirm you have removed the item from service and contact your line manager.

The equipment is safe to use - make sure it is left clean and in a usable condition - is neatly & securely stored after use.

Print / date / sign

Pre start check - Risk Assessment/Method Statement

Name
Date / time
Have you read a valid risk assessment & method statement for the task you are about to carry out

You must not start work - contact your line manager

Signature

Control measures

Have you deployed all control measures and carried out the necessary actions as detailed in the risk assessments and method statements (above)

You must not start work - contact your line manager

Sign

Additional controls

Have you identified any additional risks (not identified in the risk assessment)

Your well-being

Have you received the necessary training you require and do you feel you are able to complete the task.

You must not start work

Print / date / sign

You may start work

Print / date / sign

Additional Risks & Controls

List the risks you have identified in addition to those already identified in the risk assessment
List the additional measures you have implemented to control the additional risks (detailed above)
Are you sure you now have all suitable and sufficient controls in place for you to carry out the work safely?

You must not start work - contact your line manager

Signature

Your well-being

Have you received the necessary training you require and do you feel you are able to complete the task.

You must not start work

Signature

You may start work

Signature

Time sheet

Week commencing
Full Name

Monday

Start time
Finnish time
Total time worked (excluding break times)
Shift report
Any further actions required (include detail)
Signature (required)

Tuesday

Start time
Finnish time
Total time worked (excluding break times)
Shift report
Any further actions required (include detail)
Signature (required)

Wednesday

Start time
Finnish time
Total time worked (excluding break times)
Shift report
Any further actions required (include detail)
Signature (required)

Thursday

Start time
Finnish time
Total time worked (excluding break times)
Shift report
Any further actions required (include detail)
Signature (required)

Friday

Start time
Finnish time
Total time worked (excluding break times)
Shift report
Any further actions required (include detail)
Signature (required)

Saturday

Start time
Finnish time
Total time worked (excluding break times)
Shift report
Any further actions required (include detail)
Signature (required)

Sunday

Start time
Finnish time
Total time worked (excluding break times)
Shift report
Any further actions required (include detail)
Signature (required)

Weekly timesheet summary

Total weekly hours worked
Additional comments
Print / date / sign to confirm you have checked the detail you have provided and it is accurate and correct to the best of your knowledge

CW3 - continuous improvement

Task / service involved
Existing equipment /methods / controls used to complete task
Labour resource required to complete task
Budget costs to complete task (if known)
CW3 suggestion
Proposed Equipment /methods / controls to complete the task
Labour resource required to complete the task
budget costs to complete the task (if known)
Outline the benefits of this CW3 Initiative
Please print / sign
Location details
Type of location
- Office
- Stairs &corridoors
- Lifts
- Reception
- Washroom
- Rest room / vend area / canteen / restaurant
- Outside
Are here any bins / waste stations in the area
Condition of bin (and surrounding area)- to be clean / free of mail odour / and in usable condition
Condition of floor - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Walls - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Ceiling, Lights & Vent Grilles - to be free of cobwebs / dust / dirt / and of uniform appearance
Condition of Horizontal surfaces, sills & ledges - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Windows, displays and glass partitions to be free of scuffs / smears / smudges / dirt and of uniform appearance
Condition of General touchpoints - to be free of scuffs / smears / smudges / dirt and of uniform appearance
Condition of Fixtures and fittings - to be free of scuffs / smears / smudges / dirt and of uniform appearance
General appearance - to be uniform in appearance / generally tidy / free of obstruction and accumulations of loose debris
Other
Are here any bins / waste stations in the area
Condition of bin (and surrounding area)- to be clean / free of mail odour / and in usable condition
Condition of floor - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Walls - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Ceiling, Lights & Vent Grilles - to be free of cobwebs / dust / dirt / and of uniform appearance
Condition of Horizontal surfaces, sills & ledges - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Windows, displays and glass partitions to be free of scuffs / smears / smudges / dirt and of uniform appearance
Condition of General touchpoints - to be free of scuffs / smears / smudges / dirt and of uniform appearance
Condition of Fixtures and fittings - to be free of scuffs / smears / smudges / dirt and of uniform appearance
General appearance - to be uniform in appearance / generally tidy / free of obstruction and accumulations of loose debris
Other
Are here any bins / waste stations in the area
Condition of bin (and surrounding area)- to be clean / free of mail odour / and in usable condition
Is there a stairwell
Stair treads and raisers to be free of dust / dirt / debris / scuff marks and of uniform appearance
Handrails and balustrades to be free of dust /dirt/streaks and smears
Condition of floor - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Walls - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Ceiling, Lights & Vent Grilles - to be free of cobwebs / dust / dirt / and of uniform appearance
Condition of Horizontal surfaces, sills & ledges - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Windows, displays and glass partitions to be free of scuffs / smears / smudges / dirt and of uniform appearance
Condition of General touchpoints - to be free of scuffs / smears / smudges / dirt and of uniform appearance
Condition of Fixtures and fittings - to be free of scuffs / smears / smudges / dirt and of uniform appearance
General appearance - to be uniform in appearance / generally tidy / free of obstruction and accumulations of loose debris
Other
Lift doors to be free of smudge / streak / smear / dust and dirt and of uniform appearance
External lift control panel to be free of smudge / streak / smear / dust and dirt and of uniform appearance
Lift door tracks to be free of accumulations of dust and dirt
Condition of lift floor - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of lift Walls / mirrors and bright work to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Handrails and balustrades to be free of dust /dirt/streaks and smears
Condition of Ceiling, Lights & Vent Grilles - to be free of cobwebs / dust / dirt / and of uniform appearance
Other
Does the location have urinals ?
Urinal units to be of clean and uniform appearance with no signs of watermarks / stains or build up
Associated urinal pipework to be of clean and uniform appearance with no signs of watermarks / stains or build up
Associated urinal wall area to be of clean and uniform appearance with no signs of watermarks / stains or build up
Does the location have showers ?
Shower walls (including grouting )to be free from build up of scum / dirt / body fats and other foreign matter - to be of clean and uniform appearance
Shower flooring (including grouting )to be free from build up of scum / dirt / body fats and other foreign matter - to be of clean and uniform appearance
Shower brightwork to be free from build up of scale / scum / verdigris / dirt / body fats and other foreign matter - to be of clean and uniform appearance
Hand wash sinks / troughs and baths & basins - to be of clean and uniform appearance with no signs of dirt / scum / body fats / foreign matter /watermarks / stains or other build up
hand wash units Associated pipework (including overflow and drainage point)to be of clean and uniform appearance with no signs of watermarks / stains or build up
Hand wash units Associated wall area (including grouting)to be of clean and uniform appearance with no signs of watermarks / stains or build up
Hand wash units associated brightwork to be free from build up of scale / scum / verdigris / dirt / body fats and other foreign matter - to be of clean and uniform appearance
Hand wash units associated dispensers and fittings to be in working order with plentiful supply of consumables - free from build up of scale / scum / verdigris / dirt / body fats and other foreign matter - to be of clean and uniform appearance
Internal toilet surfaces - to be of clean and uniform appearance with no evidence of foreign matter, stains and water marks
External toilet surfaces including cistern (where evident) to be of clean and uniform appearance with no evidence of foreign matter, stains and water marks , streaks or smears
Toilet seat (both surfaces)to be of clean and uniform appearance with no evidence of foreign matter, stains and water marks, streaks or smears - seat to be showing no signs of damage, securely attached and in working order
Toilet brightwork to be of clean and uniform appearance with no evidence of foreign matter, stains and water marks, streaks or smears
Cubicle (including door) to be of clean and uniform appearance with no evidence of foreign matter, stains and water marks, streaks or smears
Washroom location floor area - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Washroom location walls (including grouting) to be free of scuffs / stains / impacted dirt / loose debris and of uniform and streak free appearance
Washroom location ceiling / lights / vents / grills - to be free from cobwebs / dust / dirt / streaks / smears and be of uniform appearance
Washroom location fixtures and fittings (including switches / sensors / vends and dispensers) - to be free of dust / dirt / streaks / smears and be of uniform appearance
Washroom location windows / mirrors to be free of dust / dirt / streaks / smears and be of uniform appearance
Washroom location consumables are all dispensers stocked with a plentiful supply to last between visits
Washroom location to be free from prevailing malodour/ unpleasant smells
Other
Condition of bin (and surrounding area)- to be clean / free of mail odour / and in usable condition
Condition of floor - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Walls - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Ceiling, Lights & Vent Grilles - to be free of cobwebs / dust / dirt / and of uniform appearance
Tables / benches / lean too / associated horizontal surfaces to be of clean appearance with no evidence of dust / dirt / debris / streaks and smears
Seating (associated horizontal surfaces) to be of clean appearance with no evidence of dust / dirt / debris / scuffs / streaks and smears
Vending units (external surfaces and associated fixtures and fittings) to be of clean appearance with no evidence of dust / dirt / debris / scuffs / streaks and smears
Condition of Ceiling, Lights & Vent Grilles - to be free of cobwebs / dust / dirt / and of uniform appearance
Other
Entrances / exits - to be un obstructed and free from accumulations of loose debris, foreign matter, dirt. Immediate Associated structure (to 2 mtrs) to be of clean appearance and streak / smear free (as far as reasonably practicable )
Waste receptacle to be free from debris / dirt and foreign matter and in a usable condition
General building perimeter to be free from accumulations of litter / loose debris/ foreign matter
Graffiti - there shall be no evidence of removable graffiti - where specialised treatment is required this shall be reported via line management to the customer
Other
Date print sign

Service Team Complaint

Nature of complaint
Required Action
Additional comments
Print/date/sign

Manager / inspection / report

Management role
Type of report

Cleaning Audit

Location details
Stairwell location
Are there any bins / waste stations in the area
Condition of bin (and surrounding area)- to be clean / free of mail odour / and in usable condition
Stair treads and raisers to be free of dust / dirt / debris / scuff marks and of uniform appearance
Handrails and balustrades to be free of dust /dirt/streaks and smears
Condition of floor - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Walls - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Ceiling, Lights & Vent Grilles - to be free of cobwebs / dust / dirt / and of uniform appearance
Condition of Horizontal surfaces, sills & ledges - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Windows, displays and glass partitions to be free of scuffs / smears / smudges / dirt and of uniform appearance
Condition of General touchpoints - to be free of scuffs / smears / smudges / dirt and of uniform appearance
Condition of Fixtures and fittings - to be free of scuffs / smears / smudges / dirt and of uniform appearance
General appearance - to be uniform in appearance / generally tidy / free of obstruction and accumulations of loose debris
Other
Are there any bins / waste stations in the area
Condition of bin (and surrounding area)- to be clean / free of mail odour / and in usable condition
Condition of floor - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Walls - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Ceiling, Lights & Vent Grilles - to be free of cobwebs / dust / dirt / and of uniform appearance
Condition of Horizontal surfaces, sills & ledges - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Windows, displays and glass partitions to be free of scuffs / smears / smudges / dirt and of uniform appearance
Condition of General touchpoints - to be free of scuffs / smears / smudges / dirt and of uniform appearance
Condition of Fixtures and fittings - to be free of scuffs / smears / smudges / dirt and of uniform appearance
General appearance - to be uniform in appearance / generally tidy / free of obstruction and accumulations of loose debris
Other
Are here any bins / waste stations in the area
Condition of bin (and surrounding area)- to be clean / free of mail odour / and in usable condition
Condition of floor - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Walls - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Ceiling, Lights & Vent Grilles - to be free of cobwebs / dust / dirt / and of uniform appearance
Condition of Horizontal surfaces, sills & ledges - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Windows, displays and glass partitions to be free of scuffs / smears / smudges / dirt and of uniform appearance
Condition of General touchpoints - to be free of scuffs / smears / smudges / dirt and of uniform appearance
Condition of Fixtures and fittings - to be free of scuffs / smears / smudges / dirt and of uniform appearance
General appearance - to be uniform in appearance / generally tidy / free of obstruction and accumulations of loose debris
Other
Lift foyer general appearance
Are there any waste receptacles
Condition of the waste receptacles
Lift doors to be free of smudge / streak / smear / dust and dirt and of uniform appearance
External lift control panel to be free of smudge / streak / smear / dust and dirt and of uniform appearance
Lift door tracks to be free of accumulations of dust and dirt
Condition of lift floor - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of lift Walls / mirrors and bright work to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Handrails and balustrades to be free of dust /dirt/streaks and smears
Condition of Ceiling, Lights & Vent Grilles - to be free of cobwebs / dust / dirt / and of uniform appearance
Other
Are here any bins / waste stations in the area
Condition of bin (and surrounding area)- to be clean / free of mail odour / and in usable condition
Condition of floor - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Walls - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Ceiling, Lights & Vent Grilles - to be free of cobwebs / dust / dirt / and of uniform appearance
Condition of Horizontal surfaces, sills & ledges - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Windows, displays and glass partitions to be free of scuffs / smears / smudges / dirt and of uniform appearance
Condition of General touchpoints - to be free of scuffs / smears / smudges / dirt and of uniform appearance
Condition of Fixtures and fittings - to be free of scuffs / smears / smudges / dirt and of uniform appearance
General appearance - to be uniform in appearance / generally tidy / free of obstruction and accumulations of loose debris
Other
Please add location details

General appearance & comments

Comments

Toilets

Internal toilet surfaces - to be of clean and uniform appearance with no evidence of foreign matter, stains and water marks
External toilet surfaces including cistern (where evident) to be of clean and uniform appearance with no evidence of foreign matter, stains and water marks , streaks or smears
Toilet seat (both surfaces)to be of clean and uniform appearance with no evidence of foreign matter, stains and water marks, streaks or smears - seat to be showing no signs of damage, securely attached and in working order
Toilet brightwork to be of clean and uniform appearance with no evidence of foreign matter, stains and water marks, streaks or smears
Cubicle (including door) to be of clean and uniform appearance with no evidence of foreign matter, stains and water marks, streaks or smears

Structure

Washroom location floor area - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Washroom location walls (including grouting) to be free of scuffs / stains / impacted dirt / loose debris and of uniform and streak free appearance
Washroom location ceiling / lights / vents / grills - to be free from cobwebs / dust / dirt / streaks / smears and be of uniform appearance
Washroom location windows / mirrors to be free of dust / dirt / streaks / smears and be of uniform appearance
Washroom location fixtures and fittings (including switches / sensors / vends and dispensers) - to be free of dust / dirt / streaks / smears and be of uniform appearance
Washroom location to be free from prevailing malodour/ unpleasant smells

Consumables

Washroom location consumables are all dispensers stocked with a plentiful supply to last between visits

Hand wash sinks/basins/troughs

Hand wash sinks / troughs and baths & basins - to be of clean and uniform appearance with no signs of dirt / scum / body fats / foreign matter /watermarks / stains or other build up
hand wash units Associated pipework (including overflow and drainage point)to be of clean and uniform appearance with no signs of watermarks / stains or build up
Hand wash units Associated wall area (including grouting)to be of clean and uniform appearance with no signs of watermarks / stains or build up
Hand wash units associated brightwork to be free from build up of scale / scum / verdigris / dirt / body fats and other foreign matter - to be of clean and uniform appearance
Hand wash units associated dispensers and fittings to be in working order with plentiful supply of consumables - free from build up of scale / scum / verdigris / dirt / body fats and other foreign matter - to be of clean and uniform appearance

Showers

Shower walls (including grouting )to be free from build up of scum / dirt / body fats and other foreign matter - to be of clean and uniform appearance
Shower flooring (including grouting )to be free from build up of scum / dirt / body fats and other foreign matter - to be of clean and uniform appearance
Shower brightwork to be free from build up of scale / scum / verdigris / dirt / body fats and other foreign matter - to be of clean and uniform appearance

Urinals

Urinal units to be of clean and uniform appearance with no signs of watermarks / stains or build up
Associated urinal pipework to be of clean and uniform appearance with no signs of watermarks / stains or build up
Associated urinal wall area to be of clean and uniform appearance with no signs of watermarks / stains or build up
Condition of bin (and surrounding area)- to be clean / free of mail odour / and in usable condition
Vending units (external surfaces and associated fixtures and fittings) to be of clean appearance with no evidence of dust / dirt / debris / scuffs / streaks and smears
Condition of Walls - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of floor - to be free of scuffs / stains / impacted dirt / loose debris and of uniform appearance
Condition of Ceiling, Lights & Vent Grilles - to be free of cobwebs / dust / dirt / and of uniform appearance
Tables / benches / lean too / associated horizontal surfaces to be of clean appearance with no evidence of dust / dirt / debris / streaks and smears
Seating (associated horizontal surfaces) to be of clean appearance with no evidence of dust / dirt / debris / scuffs / streaks and smears
Other
Entrances / exits - to be un obstructed and free from accumulations of loose debris, foreign matter, dirt. Immediate Associated structure (to 2 mtrs) to be of clean appearance and streak / smear free (as far as reasonably practicable )
Waste receptacle to be free from debris / dirt and foreign matter and in a usable condition
General building perimeter to be free from accumulations of litter / loose debris/ foreign matter
Graffiti - there shall be no evidence of removable graffiti - where specialised treatment is required this shall be reported via line management to the customer
Other
Date / Print / Sign

Storeroom Inspection

Please confirm location
Please confirm current stock levels
Please confirm stock requirements (leave blank if no additional stock required)
Please confirm the stock room has a copy of the cleaning playbook
Confirm the cleaners stock room (including all equipment) is clean and tidy and in good condition.

Confirmation

Date and sign

Please confirm further Actions required

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Please confirm you have taken the necessary action by print / date / and signing this report.

PPE type

Name of team / operative
Please indicate the uniform / PPE being worn at the time of assessment
- Safety shoes
- Work trousers
- Polo shirt
- Dress shirt / blouse
- Jumper
- Sweatshirt
- Fleece
- Jacket
- Coat
- High vis
- Safety helmet
- Bump cap
- Safety specs
- Goggles
- Face visor
- Gloves
- Ear protection
- Face mask
- Other
‘Other’ Uniform/PPE type
Are all items of ppe (as detailed in the risk assessments/ method statements) being worn by the affected personnel

Additional comments

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Print / date / sign

Do not allow work to continue - It is both a legal & mandatory requirement to wear company safety clothing and personal protective equipment (PPE) - failure to do so may lead to disciplinary proceedings.

Please detail any uniform / PPE to be replaced and necessary action required (leave blank if not required)
Please confirm any further measures taken / required
Print/ date/ sign

Competency Assessment

Name of Operative
Details of Operatives training (relevant to the task)
Details of task(s) undertaken
Does the Operative understand the work instructions within RAMS & Associated documentation

It is a requirement of health and safety law to understand all aspects of the RAMS & associated documents for the task being undertaken - the operative must not continue until familiar with the requirements of all associated documentation. Please detail further action taken / required (below)

Print / date / sign

Workplace set up

Are all necessary safety controls in place

Work must not commence until all safety control measures are in place- Please detail further action taken / required (below) including any further training requirements.

Print / date / sign

Uniform & PPE

Are all necessary items of work ware & PPE in good condition and in use when completing the task

Work must not commence until all uniform & PPE has been checked is worn and is in good condition. Please detail further action taken / required (below) including any further training requirements.

Print / date / sign

Methodology

Is the work being carried out in line with the requirements of the applicable documentation

Work must not be carried out without using the correct methods and equipment to complete the task - Please detail further action taken / required (below) including any further training requirements.

Print / date / sign

Capabillity

Does the operative confirm their ability to complete the task

Work must not commence if the operative is not sure if he can complete the task as per the required specification. Please detail further action taken / required (below) including any further training requirements.

Print / date / sign

Assessment

Do you believe the operative is capable & competent to complete the task

Work must not commence unless you are sure the operative has received the necessary training and instruction and is capable & competent to complete the task - Please detail further action taken / required (below) including any further training requirements.

Print / date / sign

Successful completion of this assessment

Print/ date/ sign

General administration ‘ forms

Please select form below
- Sick form
- holiday form
- time sheet
- Customer request
- customer complaint
- customer satisfaction
- customer feedback

Sickness / Absence notification form - please complete as soon as you become aware you are unable to attend.

Name
Department
Line manager
Please confirm the date you are unable to attend work
Please state the reason you are unable to attend work
Signature
Thank you for completing the notification - please note we will contact you shortly for further information regarding your absence to better understand what support we can offer you and what you feel would be the anticipated term of absence.

Holiday form

Name
Department
Line manager
Requested dates
Number of days requested
Signature
Your request has been submitted for approval - please note you must receive approval to confirm your holiday request has been granted

Time sheet

Week commencing
Name
Department
Line manager

Monday

Start time
Finnish time
Total time worked (excluding break times)
Shift report
Any further actions required (include detail)
Signature (required)

Tuesday

Start time
Finnish time
Total time worked (excluding break times)
Shift report
Any further actions required (include detail)
Signature (required)

Wednesday

Start time
Finnish time
Total time worked (excluding break times)
Shift report
Any further actions required (include detail)
Signature (required)

Thursday

Start time
Finnish time
Total time worked (excluding break times)
Shift report
Any further actions required (include detail)
Signature (required)

Friday

Start time
Finnish time
Total time worked (excluding break times)
Shift report
Any further actions required (include detail)
Signature (required)

Saturday

Start time
Finnish time
Total time worked (excluding break times)
Shift report
Any further actions required (include detail)
Signature (required)

Sunday

Start time
Finnish time
Total time worked (excluding break times)
Shift report
Any further actions required (include detail)
Additional comments

Timesheet Summary

Total weekly hours worked
Signature (required)

Health and Safety

Report type

Pre start check - Risk Assessment/Method Statement

Name
Position
Task (include job ref where applicable)
Date
Have you read a valid risk assessment & method statement for the task you are about to carry out

You must not start work - contact your line manager

Signature

Control measures

Have you deployed all control measures and carried out the necessary actions as detailed in the risk assessments and method statements (above)

You must not start work - contact your line manager

Signature

Additional controls

Have you identified any additional risks (not identified in the risk assessment)

Your well-being

Have you received the necessary training you require and do you feel you are able to complete the task.

You must not start work

Signature

You may start work

Signature

Additional Risks & Controls

List the risks you have identified in addition to those already identified in the risk assessment
List the additional measures you have implemented to control the additional risks (detailed above)
Are you sure you now have all suitable and sufficient controls in place for you to carry out the work safely?

You must not start work - contact your line manager

Print / date / sign

Your well-being

Have you received the necessary training you require and do you feel you are able to complete the task.

You must not start work

Print / date / sign

You may start work

Print / date / sign

Safety Observation

Name
Position
Select date
Please provide details about your safety observation
Please highlight the safety considerations in relation to the above observation
In your view is it safe for the activity you have observed to continue
You should request the personnel involved stop work as it is not safe to continue and report this to your line manager immediately
Please highlight good practice / how safety can be improved in relation to the above
Please print / sign

2 Minute Risk Assessment

Name
Date / Time
Description of task
Hazard noted before starting task
Person(s) at risk
Control measures in place before starting task
Is it safe to start with the above control measures in place
What additional control measures do you recommend
Have you implemented the additional control measures (detailed above)
Do not start work - contact your line manager
Date/ Print/ Sign
You may start work - Remember to continually assess the area in case additional hazards occur. (Complete a new 5 minute risk assessment if new hazards &/or risks are identified)
Date/ Print/ Sign
You may start work - Remember to continually assess the area in case additional hazards occur. (Complete a new 5 minute risk assessment if new hazards &/or risks are identified)
Date/ print/sign

Customer Report

Please select which type of report you wish to make
Name of person wishing to comment
Date / time
Which service do you wish to comment on
In general how happy are you with the delivery of the service (detailed above)
In general how happy are you with the staff delivering the service (detailed above)
Would you like to comment on how the service can be improved
Please print/ sign
Thank you for your feedback - your comments are greatly appreciated and will help us to improve our service delivery on site

Customer Request

Priority
Pass request to help desk immediately on completion
Task details
Requested Completion date
Further action required
Print / sign

Customer Complaint

Nature of complaint (please provide details)
Please provide contact details
Please Print / date / sign
Thank you for your feedback - we will contact you shortly to address your issues.
Please select a category
- Site Management
- Security
- Front of house
- Cleaning
- Catering
- Grounds Maintenance
- Hard Services
- Individual / Team Member
- Overall EMCOR performance
Please identify who your comments are in relation to
Using the following sliders please indicate your level of satisfaction between 1&10 (1=poor / 10=excellent)
Appearance
Politeness
Helpfulness
Competences
Overall performance
Any further comments
Print/ date/ sign

Customer Comments

Please provide comments
Please provide detail of any further action required
Please provide contact details
Please print / date / sign

General Report

Name
Date / time
Please detail your comments
Please detail further required actions
Please detail when action is required by
Print/ date/ sign

Sr temp

Free Sr temp Checklist

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Service Team action

Stock Items

Confirmation

Please ensure your stock room is clean and tidy - if it is not you must contact your line manager immediately

Equipment inspection / check

Manual equipment inspection checklist

You must not use any item in poor condition and / or unsafe to use - please sign below to confirm you have removed the item from use and have contacted your line manager

Powered equipment inspection

You must take immediate action

Visual inspection

You must take immediate action

General condition

You must take immediate action

The equipment is safe to use - make sure it is left clean and in a usable condition - is neatly & securely stored after use.

Visual inspection

You must take immediate action

General condition

You must take immediate action

The equipment is safe to use - make sure it is left clean and in a usable condition - is neatly & securely stored after use.

Pre start check - Risk Assessment/Method Statement

You must not start work - contact your line manager

Control measures

You must not start work - contact your line manager

Additional controls

Your well-being

You must not start work

You may start work

Additional Risks & Controls

You must not start work - contact your line manager

Your well-being

You must not start work

You may start work

Time sheet

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Weekly timesheet summary

CW3 - continuous improvement

Service Team Complaint

Manager / inspection / report

Cleaning Audit

General appearance & comments

Toilets

Structure

Consumables

Hand wash sinks/basins/troughs

Showers

Urinals

Storeroom Inspection

Confirmation

Please confirm further Actions required

PPE type

Additional comments

Do not allow work to continue - It is both a legal & mandatory requirement to wear company safety clothing and personal protective equipment (PPE) - failure to do so may lead to disciplinary proceedings.

Competency Assessment

It is a requirement of health and safety law to understand all aspects of the RAMS & associated documents for the task being undertaken - the operative must not continue until familiar with the requirements of all associated documentation. Please detail further action taken / required (below)

Workplace set up

Work must not commence until all safety control measures are in place- Please detail further action taken / required (below) including any further training requirements.

Uniform & PPE

Work must not commence until all uniform & PPE has been checked is worn and is in good condition. Please detail further action taken / required (below) including any further training requirements.

Methodology

Work must not be carried out without using the correct methods and equipment to complete the task - Please detail further action taken / required (below) including any further training requirements.

Capabillity

Work must not commence if the operative is not sure if he can complete the task as per the required specification. Please detail further action taken / required (below) including any further training requirements.

Assessment

Work must not commence unless you are sure the operative has received the necessary training and instruction and is capable & competent to complete the task - Please detail further action taken / required (below) including any further training requirements.

Successful completion of this assessment

General administration ‘ forms

Sickness / Absence notification form - please complete as soon as you become aware you are unable to attend.

Holiday form

Time sheet

Monday