Ultra Clean Cabin Assessment B777 4 Class (10L)

• Aircraft Registration

• Location

• Prepared by

• Conducted on

  Date

• Assessment Type

  Full A/C Ultra Clean

  Maintenance Ultra Clean

Total Score

• Hard surfaces cleaned

  Yes

  No

  N/A

• Seat tracks cleaned

  Yes

  No

  N/A

• Carpet behind rudder panels cleaned

  Yes

  No

  N/A

• Rudder panels wiped

  Yes

  No

  N/A

• Centre control (joystick) cleaned

  Yes

  No

  N/A

• i-Pad holder cleaned

  Yes

  No

  N/A

• Dashboard (glare shield) cleaned

  Yes

  No

  N/A

• Centre console dusted

  Yes

  No

  N/A

• Seats cleaned

  Yes

  No

  N/A

• Debris removed from floor

  Yes

  No

  N/A

• Floor cleaned

  Yes

  No

  N/A

• Cup holders cleaned

  Yes

  No

  N/A

• Inside windscreen cleaned

  Yes

  No

  N/A

• Sun blinds cleaned and free of steaks

  Yes

  No

  N/A

• Crew door cleaned

  Yes

  No

  N/A

• All rubbish removed from lockers/stowage

  Yes

  No

  N/A

• All rubbish removed from bins

  Yes

  No

  N/A

• Rubbish bag replaced when applicable

  Yes

  No

  N/A

• Security slip filled out accurately

  Yes

  No

  N/A

Total Score

• Ceiling cleaned

  Yes

  No

  N/A

• Hard surfaces cleaned

  Yes

  No

  N/A

• Boarding doors cleaned

  Yes

  No

  N/A

• Air vents cleaned

  Yes

  No

  N/A

• Slide Bustle cleaned

  Yes

  No

  N/A

• Crew Seats cleared

  Yes

  No

  N/A

• Crew seats cleaned

  Yes

  No

  N/A

• Dividers cleaned

  Yes

  No

  N/A

• Exit signs cleaned

  Yes

  No

  N/A

• Floor clear of debris

  Yes

  No

  N/A

• Floor cleaned

  Yes

  No

  N/A

Total Score

• Floor cleaned

  Yes

  No

  N/A

• Floor clear of debris

  Yes

  No

  N/A

• Ceilings cleaned

  Yes

  No

  N/A

• Vents cleaned

  Yes

  No

  N/A

• Seats cleaned

  Yes

  No

  N/A

• Seats free of debris

  Yes

  No

  N/A

• Computer screen free of prints/streaks

  Yes

  No

  N/A

• Desktop cleaned

  Yes

  No

  N/A

• Desktop free of debris

  Yes

  No

  N/A

Total Score

• Ovens cleaned

  Yes

  No

  N/A

• Microwave cleaned

  Yes

  No

  N/A

• Warming cupboards cleaned

  Yes

  No

  N/A

• Chillers cleaned

  Yes

  No

  N/A

• Sinks cleaned

  Yes

  No

  N/A

• Brewers cleaned

  Yes

  No

  N/A

• Walls cleaned

  Yes

  No

  N/A

• Stowage doors cleaned

  Yes

  No

  N/A

• Stowage door brushes clear of debris

  Yes

  No

  N/A

• Hard surfaces cleaned

  Yes

  No

  N/A

• Pull outs trays cleaned

  Yes

  No

  N/A

• Floors free from debris

  Yes

  No

  N/A

• Floors scrubbed clean

  Yes

  No

  N/A

• Stowage free from debris

  Yes

  No

  N/A

• Stowage scrubbed clean (internal)

  Yes

  No

  N/A

• Compactor and surrounding area cleaned

  Yes

  No

  N/A

• Compactor and surrounding area left dry

  Yes

  No

  N/A

• Rubbish bins cleaned

  Yes

  No

  N/A

• Liners replaced (including returns)

  Yes

  No

  N/A

• Air vents cleaned

  Yes

  No

  N/A

• Ceiling cleaned

  Yes

  No

  N/A

Total Score

• Ceiling cleaned

  Yes

  No

  N/A

• Hard surfaces cleaned

  Yes

  No

  N/A

• Boarding doors cleaned

  Yes

  No

  N/A

• Air vents cleaned

  Yes

  No

  N/A

• Slide Bustle cleaned

  Yes

  No

  N/A

• Crew Seats cleared

  Yes

  No

  N/A

• Crew seats cleaned

  Yes

  No

  N/A

• Dividers cleaned

  Yes

  No

  N/A

• Exit signs cleaned

  Yes

  No

  N/A

• Floor clear of debris

  Yes

  No

  N/A

• Floor cleaned

  Yes

  No

  N/A

Total Score

• Cabin Area

• Cabin divider cleaned

  Yes

  No

  N/A

• Hard surfaces cleaned and ingrained dirt removed

  Yes

  No

  N/A

• Bulkheads clean and ingrained dirt removed

  Yes

  No

  N/A

• Ceiling cleaned

  Yes

  No

  N/A

• Air vents cleaned

  Yes

  No

  N/A

• PSUs cleaned and ingrained dirt removed

  Yes

  No

  N/A

• Overhead lockers cleaned and ingrained dirt removed

  Yes

  No

  N/A

• Windows cleaned

  Yes

  No

  N/A

• Blinds cleaned

  Yes

  No

  N/A

• Seat Area

• Seat wardrobes clean

  Yes

  No

  N/A

• Seat wardrobe debris removed

  Yes

  No

  N/A

• Seat debris/crumbs removed

  Yes

  No

  N/A

• Seat internal hard surfaces clean

  Yes

  No

  N/A

• Seat external frames cleaned and free from dirt and debris

  Yes

  No

  N/A

• Seat arms cleaned

  Yes

  No

  N/A

• Seat backs cleaned

  Yes

  No

  N/A

• Tray tables cleaned

  Yes

  No

  N/A

• Tray stowage cleaned

  Yes

  No

  N/A

• Footstools cleaned

  Yes

  No

  N/A

• Under seat cushions cleaned

  Yes

  No

  N/A

• Under seat cushions free from dirt and debris

  Yes

  No

  N/A

• Floor grills cleaned

  Yes

  No

  N/A

• Privacy screen cleaned

  Yes

  No

  N/A

• Seat returned to departure position

  Yes

  No

  N/A

• IFE screens free of prints/streaks

  Yes

  No

  N/A

• IFE controls cleaned

  Yes

  No

  N/A

• IFE stowage cleaned

  Yes

  No

  N/A

• Magazine stowage cleaned

  Yes

  No

  N/A

• Magazine stowage free of debris

  Yes

  No

  N/A

• Magazine stowage contents in good condition

  Yes

  No

  N/A

• Magazines replaced/replenished

  Yes

  No

  N/A

• Ensure safety card in front

  Yes

  No

  N/A

• Sick bags replenished

  Yes

  No

  N/A

• Charity bags replenished

  Yes

  No

  N/A

• Seats dressed according to brands (kits)

  Yes

  No

  N/A

• Carpets

• Floor channels free from debris

  Yes

  No

  N/A

• Carpets vacuumed

  Yes

  No

  N/A

• Gum removed

  Yes

  No

  N/A

• Stains removed

  Yes

  No

  N/A

• Stairwell (plug socket covers replaced)

  Yes

  No

  N/A

Total Score

• Ovens cleaned

  Yes

  No

  N/A

• Microwave cleaned

  Yes

  No

  N/A

• Warming cupboards cleaned

  Yes

  No

  N/A

• Chillers cleaned

  Yes

  No

  N/A

• Sinks cleaned

  Yes

  No

  N/A

• Brewers cleaned

  Yes

  No

  N/A

• Walls cleaned

  Yes

  No

  N/A

• Stowage doors cleaned

  Yes

  No

  N/A

• Stowage door brushes clear of debris

  Yes

  No

  N/A

• Hard surfaces cleaned

  Yes

  No

  N/A

• Pull outs trays cleaned

  Yes

  No

  N/A

• Floors free from debris

  Yes

  No

  N/A

• Floors scrubbed clean

  Yes

  No

  N/A

• Stowage free from debris

  Yes

  No

  N/A

• Stowage scrubbed clean (internal)

  Yes

  No

  N/A

• Compactor and surrounding area cleaned

  Yes

  No

  N/A

• Compactor and surrounding area left dry

  Yes

  No

  N/A

• Rubbish bins cleaned

  Yes

  No

  N/A

• Liners replaced (including returns)

  Yes

  No

  N/A

• Air vents cleaned

  Yes

  No

  N/A

• Ceiling cleaned

  Yes

  No

  N/A

Total Score

• Ceiling cleaned

  Yes

  No

  N/A

• Hard surfaces cleaned

  Yes

  No

  N/A

• Boarding doors cleaned

  Yes

  No

  N/A

• Air vents cleaned

  Yes

  No

  N/A

• Slide Bustle cleaned

  Yes

  No

  N/A

• Crew Seats cleared

  Yes

  No

  N/A

• Crew seats cleaned

  Yes

  No

  N/A

• Dividers cleaned

  Yes

  No

  N/A

• Exit signs cleaned

  Yes

  No

  N/A

• Floor clear of debris

  Yes

  No

  N/A

• Floor cleaned

  Yes

  No

  N/A

Total Score

• Ceiling cleaned

  Yes

  No

  N/A

• Hard surfaces cleaned

  Yes

  No

  N/A

• Boarding doors cleaned

  Yes

  No

  N/A

• Air vents cleaned

  Yes

  No

  N/A

• Slide Bustle cleaned

  Yes

  No

  N/A

• Crew Seats cleared

  Yes

  No

  N/A

• Crew seats cleaned

  Yes

  No

  N/A

• Dividers cleaned

  Yes

  No

  N/A

• Exit signs cleaned

  Yes

  No

  N/A

• Floor clear of debris

  Yes

  No

  N/A

• Floor cleaned

  Yes

  No

  N/A

• Worktop cleaned

  Yes

  No

  N/A

• Chillers cleaned

  Yes

  No

  N/A

• Shelving cleaned

  Yes

  No

  N/A

• Mirror cleaned

  Yes

  No

  N/A

• Walls cleaned

  Yes

  No

  N/A

• Tedlar surfaces

  Yes

  No

  N/A

• Stowage doors cleaned

  Yes

  No

  N/A

• Hard surfaces cleaned

  Yes

  No

  N/A

• Floors free from debris

  Yes

  No

  N/A

• Floors scrubbed clean

  Yes

  No

  N/A

• Stowage free from debris

  Yes

  No

  N/A

• Stowage scrubbed clean (internal)

  Yes

  No

  N/A

• Air vents cleaned

  Yes

  No

  N/A

• Ceiling cleaned

  Yes

  No

  N/A

Total Score

• Cabin Area

• Cabin divider cleaned

  Yes

  No

  N/A

• Hard surfaces cleaned and ingrained dirt removed

  Yes

  No

  N/A

• Bulkheads clean and ingrained dirt removed

  Yes

  No

  N/A

• Ceiling cleaned

  Yes

  No

  N/A

• Air vents cleaned

  Yes

  No

  N/A

• PSUs cleaned and ingrained dirt removed

  Yes

  No

  N/A

• Overhead lockers cleaned and ingrained dirt removed

  Yes

  No

  N/A

• Windows cleaned

  Yes

  No

  N/A

• Blinds cleaned

  Yes

  No

  N/A

• Carpets

• Floor channels free from debris

  Yes

  No

  N/A

• Carpets vacuumed

  Yes

  No

  N/A

• Gum removed

  Yes

  No

  N/A

• Stains removed

  Yes

  No

  N/A

• Stairwell (plug socket covers replaced)

  Yes

  No

  N/A

• Seats

• Bassinet tables cleaned

  Yes

  No

  N/A

• Seat debris/crumbs removed

  Yes

  No

  N/A

• Seat internal hard surfaces cleaned

  Yes

  No

  N/A

• Seat external frames cleaned and free from dirt and debris

  Yes

  No

  N/A

• Seat arms cleaned

  Yes

  No

  N/A

• Seat backs cleaned

  Yes

  No

  N/A

• Tray tables cleaned

  Yes

  No

  N/A

• Tray stowage cleaned

  Yes

  No

  N/A

• Footstools cleaned

  Yes

  No

  N/A

• Under seat cushions cleaned

  Yes

  No

  N/A

• Under seat cushions free from dirt and debris

  Yes

  No

  N/A

• Floor grills cleaned

  Yes

  No

  N/A

• Privacy screen cleaned

  Yes

  No

  N/A

• Seat returned to departure position

  Yes

  No

  N/A

• IFE screens free of prints/streaks

  Yes

  No

  N/A

• IFE controls cleaned

  Yes

  No

  N/A

• IFE stowage cleaned

  Yes

  No

  N/A

• Magazine stowage cleaned

  Yes

  No

  N/A

• Magazine stowage free of debris

  Yes

  No

  N/A

• Magazine stowage contents in good condition

  Yes

  No

  N/A

• Magazines replaced/replenished

  Yes

  No

  N/A

• Ensure safety card in front

  Yes

  No

  N/A

• Sick bags replenished

  Yes

  No

  N/A

• Charity bags replenished

  Yes

  No

  N/A

• Seats dressed according to brands (kits)

  Yes

  No

  N/A

Total Score

• Cabin Area

• Cabin divider cleaned

  Yes

  No

  N/A

• Hard surfaces cleaned and ingrained dirt removed

  Yes

  No

  N/A

• Bulkheads clean and ingrained dirt removed

  Yes

  No

  N/A

• Ceiling cleaned

  Yes

  No

  N/A

• Air vents cleaned

  Yes

  No

  N/A

• PSUs cleaned and ingrained dirt removed

  Yes

  No

  N/A

• Overhead lockers cleaned and ingrained dirt removed

  Yes

  No

  N/A

• Windows cleaned

  Yes

  No

  N/A

• Blinds cleaned

  Yes

  No

  N/A

• Carpets

• Floor channels free from debris

  Yes

  No

  N/A

• Carpets vacuumed

  Yes

  No

  N/A

• Gum removed

  Yes

  No

  N/A

• Stains removed

  Yes

  No

  N/A

• Stairwell (plug socket covers replaced)

  Yes

  No

  N/A

• Seats

• Bassinet tables cleaned

  Yes

  No

  N/A

• Seat debris/crumbs removed

  Yes

  No

  N/A

• Seat external frames cleaned and free from dirt and debris

  Yes

  No

  N/A

• Seat arms cleaned

  Yes

  No

  N/A

• Seat backs cleaned

  Yes

  No

  N/A

• Tray tables cleaned

  Yes

  No

  N/A

• Tray stowage cleaned

  Yes

  No

  N/A

• Under seat cushions cleaned

  Yes

  No

  N/A

• Under seat cushions free from dirt and debris

  Yes

  No

  N/A

• Foot rest cleaned

  Yes

  No

  N/A

• Floor grills cleaned

  Yes

  No

  N/A

• Seat tracks cleared

  Yes

  No

  N/A

• Seat tracks clean

  Yes

  No

  N/A

• Floor capping clean

  Yes

  No

  N/A

• Seat returned to departure position

  Yes

  No

  N/A

• IFE screens free of prints/streaks

  Yes

  No

  N/A

• IFE controls cleaned

  Yes

  No

  N/A

• IFE stowage cleaned

  Yes

  No

  N/A

• Magazine stowage cleaned

  Yes

  No

  N/A

• Magazine stowage free of debris

  Yes

  No

  N/A

• Magazine stowage contents in good condition

  Yes

  No

  N/A

• Magazines replaced/replenished

  Yes

  No

  N/A

• Ensure safety card in front

  Yes

  No

  N/A

• Sick bags replenished

  Yes

  No

  N/A

• Charity bags replenished

  Yes

  No

  N/A

• Seats dressed according to brands (kits)

  Yes

  No

  N/A

Total Score

• Ceiling cleaned

  Yes

  No

  N/A

• Hard surfaces cleaned

  Yes

  No

  N/A

• Boarding doors cleaned

  Yes

  No

  N/A

• Air vents cleaned

  Yes

  No

  N/A

• Slide Bustle cleaned

  Yes

  No

  N/A

• Crew Seats cleared

  Yes

  No

  N/A

• Crew seats cleaned

  Yes

  No

  N/A

• Dividers cleaned

  Yes

  No

  N/A

• Exit signs cleaned

  Yes

  No

  N/A

• Floor clear of debris

  Yes

  No

  N/A

• Floor cleaned

  Yes

  No

  N/A

Total Score

• Ceiling cleaned

  Yes

  No

  N/A

• Hard surfaces cleaned

  Yes

  No

  N/A

• Boarding doors cleaned

  Yes

  No

  N/A

• Air vents cleaned

  Yes

  No

  N/A

• Slide Bustle cleaned

  Yes

  No

  N/A

• Crew Seats cleared

  Yes

  No

  N/A

• Crew seats cleaned

  Yes

  No

  N/A

• Dividers cleaned

  Yes

  No

  N/A

• Exit signs cleaned

  Yes

  No

  N/A

• Floor clear of debris

  Yes

  No

  N/A

• Floor cleaned

  Yes

  No

  N/A

Total Score

• Cabin Area

• Cabin divider cleaned

  Yes

  No

  N/A

• Hard surfaces cleaned and ingrained dirt removed

  Yes

  No

  N/A

• Bulkheads clean and ingrained dirt removed

  Yes

  No

  N/A

• Ceiling cleaned

  Yes

  No

  N/A

• Air vents cleaned

  Yes

  No

  N/A

• PSUs cleaned and ingrained dirt removed

  Yes

  No

  N/A

• Overhead lockers cleaned and ingrained dirt removed

  Yes

  No

  N/A

• Windows cleaned

  Yes

  No

  N/A

• Blinds cleaned

  Yes

  No

  N/A

• Carpets

• Floor channels free from debris

  Yes

  No

  N/A

• Carpets vacuumed

  Yes

  No

  N/A

• Gum removed

  Yes

  No

  N/A

• Stains removed

  Yes

  No

  N/A

• Stairwell (plug socket covers replaced)

  Yes

  No

  N/A

• WT

  Yes

  No

  N/A

• Seats

• Bassinet tables cleaned

  Yes

  No

  N/A

• Seat debris/crumbs removed

  Yes

  No

  N/A

• Seat external frames cleaned and free from dirt and debris

  Yes

  No

  N/A

• Seat arms cleaned

  Yes

  No

  N/A

• Seat backs cleaned

  Yes

  No

  N/A

• Tray tables cleaned

  Yes

  No

  N/A

• Tray stowage cleaned

  Yes

  No

  N/A

• Under seat cushions cleaned

  Yes

  No

  N/A

• Under seat cushions free from dirt and debris

  Yes

  No

  N/A

• Seat tracks cleared

  Yes

  No

  N/A

• Seat tracks cleaned

  Yes

  No

  N/A

• Floor capping cleaned

  Yes

  No

  N/A

• Floor grills cleaned

  Yes

  No

  N/A

• Seat returned to departure position

  Yes

  No

  N/A

• IFE screens free of prints/streaks

  Yes

  No

  N/A

• IFE controls cleaned

  Yes

  No

  N/A

• IFE stowage cleaned

  Yes

  No

  N/A

• Magazine stowage cleaned

  Yes

  No

  N/A

• Magazine stowage free of debris

  Yes

  No

  N/A

• Magazine stowage contents in good condition

  Yes

  No

  N/A

• Magazines replaced/replenished

  Yes

  No

  N/A

• Ensure safety card in front

  Yes

  No

  N/A

• Sick bags replenished

  Yes

  No

  N/A

• Charity bags replenished

  Yes

  No

  N/A

• Seats dressed according to brands (kits)

  Yes

  No

  N/A

Total Score

• Dressed (according to aircraft type)

  Yes

  No

  N/A

• Walls cleaned

  Yes

  No

  N/A

• Floor clear of debris

  Yes

  No

  N/A

• Floor cleaned

  Yes

  No

  N/A

• Ceilings cleaned

  Yes

  No

  N/A

• Vents cleaned

  Yes

  No

  N/A

• Seats cleaned

  Yes

  No

  N/A

• Seats free of debris

  Yes

  No

  N/A

• Bunks clean (if applicable)

  Yes

  No

  N/A

• Bunks free of debris (if applicable)

  Yes

  No

  N/A

Total Score

• Ceiling cleaned

  Yes

  No

  N/A

• Hard surfaces cleaned

  Yes

  No

  N/A

• Boarding doors cleaned

  Yes

  No

  N/A

• Air vents cleaned

  Yes

  No

  N/A

• Slide Bustle cleaned

  Yes

  No

  N/A

• Crew Seats cleared

  Yes

  No

  N/A

• Crew seats cleaned

  Yes

  No

  N/A

• Dividers cleaned

  Yes

  No

  N/A

• Exit signs cleaned

  Yes

  No

  N/A

• Floor clear of debris

  Yes

  No

  N/A

• Floor cleaned

  Yes

  No

  N/A

Total Score

• Ovens cleaned

  Yes

  No

  N/A

• Microwave cleaned

  Yes

  No

  N/A

• Warming cupboards cleaned

  Yes

  No

  N/A

• Chillers cleaned

  Yes

  No

  N/A

• Sinks cleaned

  Yes

  No

  N/A

• Brewers cleaned

  Yes

  No

  N/A

• Walls cleaned

  Yes

  No

  N/A

• Stowage doors cleaned

  Yes

  No

  N/A

• Stowage door brushes clear of debris

  Yes

  No

  N/A

• Hard surfaces cleaned

  Yes

  No

  N/A

• Pull outs trays cleaned

  Yes

  No

  N/A

• Floors free from debris

  Yes

  No

  N/A

• Floors scrubbed clean

  Yes

  No

  N/A

• Stowage free from debris

  Yes

  No

  N/A

• Stowage scrubbed clean (internal)

  Yes

  No

  N/A

• Compactor and surrounding area cleaned

  Yes

  No

  N/A

• Compactor and surrounding area left dry

  Yes

  No

  N/A

• Rubbish bins cleaned

  Yes

  No

  N/A

• Liners replaced (including returns)

  Yes

  No

  N/A

• Air vents cleaned

  Yes

  No

  N/A

• Ceiling cleaned

  Yes

  No

  N/A

Total Score

• Ceiling cleaned

  Yes

  No

  N/A

• Hard surfaces cleaned

  Yes

  No

  N/A

• Boarding doors cleaned

  Yes

  No

  N/A

• Air vents cleaned

  Yes

  No

  N/A

• Slide Bustle cleaned

  Yes

  No

  N/A

• Crew Seats cleared

  Yes

  No

  N/A

• Crew seats cleaned

  Yes

  No

  N/A

• Dividers cleaned

  Yes

  No

  N/A

• Exit signs cleaned

  Yes

  No

  N/A

• Floor clear of debris

  Yes

  No

  N/A

• Floor cleaned

  Yes

  No

  N/A

• Please label which Lav A,B,C...

Total Score

• Mirrors clean and free of streaks

  Yes

  No

  N/A

• Toilet lid cleaned

  Yes

  No

  N/A

• Toilet seats cleaned

  Yes

  No

  N/A

• Toilet surrounds cleaned

  Yes

  No

  N/A

• Hand basins cleaned

  Yes

  No

  N/A

• Taps cleaned

  Yes

  No

  N/A

• Cabinet surfaces cleaned

  Yes

  No

  N/A

• Soap holder cleaned

  Yes

  No

  N/A

• Bin emptied

  Yes

  No

  N/A

• Bin washed

  Yes

  No

  N/A

• Bin flap cleaned

  Yes

  No

  N/A

• Bin left dry (including bin stowage area)

  Yes

  No

  N/A

• Floors free from debris

  Yes

  No

  N/A

• Floors washed

  Yes

  No

  N/A

• Floors left dry

  Yes

  No

  N/A

• Walls cleaned

  Yes

  No

  N/A

• Ceilings cleaned

  Yes

  No

  N/A

• Ceiling grills cleaned

  Yes

  No

  N/A

• In ground dirt cleaned from floors

  Yes

  No

  N/A

• Doors cleaned

  Yes

  No

  N/A

• Door air vents cleaned

  Yes

  No

  N/A

• Baby changing table cleaned

  Yes

  No

  N/A

• Ash trays cleaned

  Yes

  No

  N/A

• Toilet kits replenished/replaced/back up

  Yes

  No

  N/A

• Please label which Lav A,B,C...

Total Score

• Mirrors clean and free of streaks

  Yes

  No

  N/A

• Toilet lid cleaned

  Yes

  No

  N/A

• Toilet seats cleaned

  Yes

  No

  N/A

• Toilet surrounds cleaned

  Yes

  No

  N/A

• Hand basins cleaned

  Yes

  No

  N/A

• Taps cleaned

  Yes

  No

  N/A

• Cabinet surfaces cleaned

  Yes

  No

  N/A

• Soap holder cleaned

  Yes

  No

  N/A

• Bin emptied

  Yes

  No

  N/A

• Bin washed

  Yes

  No

  N/A

• Bin flap cleaned

  Yes

  No

  N/A

• Bin left dry (including bin stowage area)

  Yes

  No

  N/A

• Floors free from debris

  Yes

  No

  N/A

• Floors washed

  Yes

  No

  N/A

• Floors left dry

  Yes

  No

  N/A

• Walls cleaned

  Yes

  No

  N/A

• Ceilings cleaned

  Yes

  No

  N/A

• Ceiling grills cleaned

  Yes

  No

  N/A

• In ground dirt cleaned from floors

  Yes

  No

  N/A

• Doors cleaned

  Yes

  No

  N/A

• Door air vents cleaned

  Yes

  No

  N/A

• Baby changing table cleaned

  Yes

  No

  N/A

• Ash trays cleaned

  Yes

  No

  N/A

• Toilet kits replenished/replaced/back up

  Yes

  No

  N/A

• Please label which Lav A,B,C...

Total Score

• Mirrors clean and free of streaks

  Yes

  No

  N/A

• Toilet lid cleaned

  Yes

  No

  N/A

• Toilet seats cleaned

  Yes

  No

  N/A

• Toilet surrounds cleaned

  Yes

  No

  N/A

• Hand basins cleaned

  Yes

  No

  N/A

• Taps cleaned

  Yes

  No

  N/A

• Cabinet surfaces cleaned

  Yes

  No

  N/A

• Soap holder cleaned

  Yes

  No

  N/A

• Bin emptied

  Yes

  No

  N/A

• Bin washed

  Yes

  No

  N/A

• Bin flap cleaned

  Yes

  No

  N/A

• Bin left dry (including bin stowage area)

  Yes

  No

  N/A

• Floors free from debris

  Yes

  No

  N/A

• Floors washed

  Yes

  No

  N/A

• Floors left dry

  Yes

  No

  N/A

• Walls cleaned

  Yes

  No

  N/A

• Ceilings cleaned

  Yes

  No

  N/A

• Ceiling grills cleaned

  Yes

  No

  N/A

• In ground dirt cleaned from floors

  Yes

  No

  N/A

• Doors cleaned

  Yes

  No

  N/A

• Door air vents cleaned

  Yes

  No

  N/A

• Baby changing table cleaned

  Yes

  No

  N/A

• Ash trays cleaned

  Yes

  No

  N/A

• Toilet kits replenished/replaced/back up

  Yes

  No

  N/A

• Please label which Lav A,B,C...

Total Score

• Mirrors clean and free of streaks

  Yes

  No

  N/A

• Toilet lid cleaned

  Yes

  No

  N/A

• Toilet seats cleaned

  Yes

  No

  N/A

• Toilet surrounds cleaned

  Yes

  No

  N/A

• Hand basins cleaned

  Yes

  No

  N/A

• Taps cleaned

  Yes

  No

  N/A

• Cabinet surfaces cleaned

  Yes

  No

  N/A

• Soap holder cleaned

  Yes

  No

  N/A

• Bin emptied

  Yes

  No

  N/A

• Bin washed

  Yes

  No

  N/A

• Bin flap cleaned

  Yes

  No

  N/A

• Bin left dry (including bin stowage area)

  Yes

  No

  N/A

• Floors free from debris

  Yes

  No

  N/A

• Floors washed

  Yes

  No

  N/A

• Floors left dry

  Yes

  No

  N/A

• Walls cleaned

  Yes

  No

  N/A

• Ceilings cleaned

  Yes

  No

  N/A

• Ceiling grills cleaned

  Yes

  No

  N/A

• In ground dirt cleaned from floors

  Yes

  No

  N/A

• Doors cleaned

  Yes

  No

  N/A

• Door air vents cleaned

  Yes

  No

  N/A

• Baby changing table cleaned

  Yes

  No

  N/A

• Ash trays cleaned

  Yes

  No

  N/A

• Toilet kits replenished/replaced/back up

  Yes

  No

  N/A

• Please label which Lav A,B,C...

Total Score

• Mirrors clean and free of streaks

  Yes

  No

  N/A

• Toilet lid cleaned

  Yes

  No

  N/A

• Toilet seats cleaned

  Yes

  No

  N/A

• Toilet surrounds cleaned

  Yes

  No

  N/A

• Hand basins cleaned

  Yes

  No

  N/A

• Taps cleaned

  Yes

  No

  N/A

• Cabinet surfaces cleaned

  Yes

  No

  N/A

• Soap holder cleaned

  Yes

  No

  N/A

• Bin emptied

  Yes

  No

  N/A

• Bin washed

  Yes

  No

  N/A

• Bin flap cleaned

  Yes

  No

  N/A

• Bin left dry (including bin stowage area)

  Yes

  No

  N/A

• Floors free from debris

  Yes

  No

  N/A

• Floors washed

  Yes

  No

  N/A

• Floors left dry

  Yes

  No

  N/A

• Walls cleaned

  Yes

  No

  N/A

• Ceilings cleaned

  Yes

  No

  N/A

• Ceiling grills cleaned

  Yes

  No

  N/A

• In ground dirt cleaned from floors

  Yes

  No

  N/A

• Doors cleaned

  Yes

  No

  N/A

• Door air vents cleaned

  Yes

  No

  N/A

• Baby changing table cleaned

  Yes

  No

  N/A

• Ash trays cleaned

  Yes

  No

  N/A

• Toilet kits replenished/replaced/back up

  Yes

  No

  N/A

• Please label which Lav A,B,C...

Total Score

• Mirrors clean and free of streaks

  Yes

  No

  N/A

• Toilet lid cleaned

  Yes

  No

  N/A

• Toilet seats cleaned

  Yes

  No

  N/A

• Toilet surrounds cleaned

  Yes

  No

  N/A

• Hand basins cleaned

  Yes

  No

  N/A

• Taps cleaned

  Yes

  No

  N/A

• Cabinet surfaces cleaned

  Yes

  No

  N/A

• Soap holder cleaned

  Yes

  No

  N/A

• Bin emptied

  Yes

  No

  N/A

• Bin washed

  Yes

  No

  N/A

• Bin flap cleaned

  Yes

  No

  N/A

• Bin left dry (including bin stowage area)

  Yes

  No

  N/A

• Floors free from debris

  Yes

  No

  N/A

• Floors washed

  Yes

  No

  N/A

• Floors left dry

  Yes

  No

  N/A

• Walls cleaned

  Yes

  No

  N/A

• Ceilings cleaned

  Yes

  No

  N/A

• Ceiling grills cleaned

  Yes

  No

  N/A

• In ground dirt cleaned from floors

  Yes

  No

  N/A

• Doors cleaned

  Yes

  No

  N/A

• Door air vents cleaned

  Yes

  No

  N/A

• Baby changing table cleaned

  Yes

  No

  N/A

• Ash trays cleaned

  Yes

  No

  N/A

• Toilet kits replenished/replaced/back up

  Yes

  No

  N/A

• Please label which Lav A,B,C...

Total Score

• Mirrors clean and free of streaks

  Yes

  No

  N/A

• Toilet lid cleaned

  Yes

  No

  N/A

• Toilet seats cleaned

  Yes

  No

  N/A

• Toilet surrounds cleaned

  Yes

  No

  N/A

• Hand basins cleaned

  Yes

  No

  N/A

• Taps cleaned

  Yes

  No

  N/A

• Cabinet surfaces cleaned

  Yes

  No

  N/A

• Soap holder cleaned

  Yes

  No

  N/A

• Bin emptied

  Yes

  No

  N/A

• Bin washed

  Yes

  No

  N/A

• Bin flap cleaned

  Yes

  No

  N/A

• Bin left dry (including bin stowage area)

  Yes

  No

  N/A

• Floors free from debris

  Yes

  No

  N/A

• Floors washed

  Yes

  No

  N/A

• Floors left dry

  Yes

  No

  N/A

• Walls cleaned

  Yes

  No

  N/A

• Ceilings cleaned

  Yes

  No

  N/A

• Ceiling grills cleaned

  Yes

  No

  N/A

• In ground dirt cleaned from floors

  Yes

  No

  N/A

• Doors cleaned

  Yes

  No

  N/A

• Door air vents cleaned

  Yes

  No

  N/A

• Baby changing table cleaned

  Yes

  No

  N/A

• Ash trays cleaned

  Yes

  No

  N/A

• Toilet kits replenished/replaced/back up

  Yes

  No

  N/A

• Please label which Lav A,B,C...

Total Score

• Mirrors clean and free of streaks

  Yes

  No

  N/A

• Toilet lid cleaned

  Yes

  No

  N/A

• Toilet seats cleaned

  Yes

  No

  N/A

• Toilet surrounds cleaned

  Yes

  No

  N/A

• Hand basins cleaned

  Yes

  No

  N/A

• Taps cleaned

  Yes

  No

  N/A

• Cabinet surfaces cleaned

  Yes

  No

  N/A

• Soap holder cleaned

  Yes

  No

  N/A

• Bin emptied

  Yes

  No

  N/A

• Bin washed

  Yes

  No

  N/A

• Bin flap cleaned

  Yes

  No

  N/A

• Bin left dry (including bin stowage area)

  Yes

  No

  N/A

• Floors free from debris

  Yes

  No

  N/A

• Floors washed

  Yes

  No

  N/A

• Floors left dry

  Yes

  No

  N/A

• Walls cleaned

  Yes

  No

  N/A

• Ceilings cleaned

  Yes

  No

  N/A

• Ceiling grills cleaned

  Yes

  No

  N/A

• In ground dirt cleaned from floors

  Yes

  No

  N/A

• Doors cleaned

  Yes

  No

  N/A

• Door air vents cleaned

  Yes

  No

  N/A

• Baby changing table cleaned

  Yes

  No

  N/A

• Ash trays cleaned

  Yes

  No

  N/A

• Toilet kits replenished/replaced/back up

  Yes

  No

  N/A