Title Page

  • Site

  • Conducted on (Date and Time)

  • Employee's Full Name

  • Manager/Supervisor's Full Name

  • Location

General

  • Sweep and mop floor

  • Wipe dry the sink, faucet, and countertop

  • Dust baseboards, wall tile, and wainscoting

  • Remove all items from the countertop

  • Clean mirrors, remove spots and streaks

  • Dust the frames

  • Wipe light switches, door knobs and the areas around them

  • Dust corners and check the ceiling for cobwebs

  • Empty trash bins

  • Check grout lines and scrub any grungy spots with a toothbrush or angled grout brush

  • Check for leaks (water supply hoses, shut off valves, and exposed plumbing pipes)

Shower

  • Clean the soap dish

  • Check drains and remove any hair that would otherwise cause clogs in the future

  • Clean and dry the shower/tub stall

  • Wash shower doors/curtain

Toilet

  • Wipe toilet handle and seat

  • Disinfect toilet sides and base for urine drips

  • Check flush if in good working condition

  • Check bidet if in good working condition

Accessories

  • Replace used towels

  • Refill toilet paper and tissue boxes

  • Replace bathmats

  • Replace used bathroom toiletries

  • Replace or refill any scent dispensers you may use

Completion

  • Recommendation

  • Employee's Full Name and Signature

  • Inspector's Full Name and Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.