Information
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Report Title
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Client / Site
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Address
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Conducted on
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Prepared by
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Project Manager
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Document No.
Lobby / Entrances
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1. Trash removed / receptacles cleaned - Daily
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2. Dust mop & Mop or Vacuum floors - Daily
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3. Clean & scrub hard surface floors - per Schedule
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4. Clean sanitize & polish water fountain - Daily
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5. Spot clean vertical surfaces - Daily
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6. Entryway glass & stainless steel - Daily
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7. Furniture cleaning - as Needed
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8. Dustclean doors, threshold, sill & glass - Daily
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9. Wipe clean Directory - Daily
Offices Areas
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1. Trash removed / Receptacles cleaned - Daily
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2. Vacuum / Spot clean - Daily
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3. Wipe / Dust horizontal surfaces - as Needed
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4. Spot clean vertical surfaces - Daily
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5. Wash clean water cooler - Daily
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6. Sweep or vacuum stairway - Daily
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7. Doors / Partitions - Daily
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8. Damp sut telephones - as Needed
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9. VCT floor spray buff / wax / strip - as Needed
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10. Entrance door glass - weekly
Restrooms
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1. Trash removed / Receptacles cleaned - Daily
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2. Spot clean vertical surfaces - Daily
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3. Wash / Scrub floors - Monthly
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4. Clean / Dust mirror, glass - Daily
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5. Clean & polish fixtures, brightwork & SS - Daily
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6. Fill dispensers - Daily
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7. Clean and disinfect partition - Daily
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8. Sweep and mop floor - Daily
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9. Disinfect bowls, urinals, sinks, and counters - Daily
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10. Dust ventilation grills / light fixtures - Monthly
Gym
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1. Trash removed / Receptacles cleaned - Daily
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2. Spot clean horizontal surfaces - Daily
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3. Spot clean vertical surfaces - Monthly
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4. Sweep & damp mop floors - Daily
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5. Wipe down all machinery - Daily
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6. Spot clean walls - Daily
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7. Wipe and clean water cooler and empty drip tray - Daily
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8. Clean mirrors - as Needed
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9. Clean air vents - Monthly
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10. High dust-weekly
Kitchen and Break Room
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1. Trash removed / Receptacles cleaned - Daily
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2. Spot clean horizontal surfaces - Daily
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3. Spot clean vertical surfaces - Monthly
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4. Sweep & damp mop hard floors - Daily
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5. Spray buff / wax floor - Weekly
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6. Wipe microwave / refrigerator - Daily
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7. Wipe and clean ice machine - Daily
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8. Clean furniture - as Needed
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9. Clean sink and cabinets - Monthly
Elevators
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1. Flooring - Daily
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2. Mirror and glass - Daily
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3. Control Panel - Daily
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4. Threshold plates - Daily
Stairwells / Hallways
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1. Floors / Carpets / Matting - Weekly
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2. Corners / Edges / Covebase - Weekly
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3. Doors - Daily
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4. Dusting all - Weekly
Employee
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1. Procedure Training
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2. Zone Training
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3. Product Training
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4. Safety Training
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5. Rules Training
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6. OS1 knowledge
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8. Other
Supply / Utility / Janitor Rooms
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7. Log book
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1. Organization
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2. Cleanliness
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3. Equipment / Maintenance
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4. Supplies
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5. Safety material / Labeled products
More
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Other Problems Found
Problems
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Description
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Add media
Sign Off
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Site Representative Signature
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QC Inspectors Signature
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Project Manager Signature
Corrective Actions
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Corrective Actions that will be undertaken
Problem, Recommendation
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Recommendation
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Completed by
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Completion Date
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Follow Up Date
