Title Page
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Conducted on
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Prepared by
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Location
Employee Responsible
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What is the regular cleaners name?
Equipment Check
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Is the equipment in good working order?
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Is the equipment area clean and tidy?
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Are chemicals secured away?
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Is the COSHH signage visable and legible?
Untitled Page
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Is there staff present for feedback?
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Is there any feedback from staff?
Feedback
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Name of person supplying feedback
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Is the cleaner polite and approchable?
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Do you think the cleaner does a good job?
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What are the issues?
Supervisor Cleaning Observations
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What is the overall standard of cleaning observed?