USFSP - Custodial Services - Inspection Form

• Client

• Assessment Location

• Building:

• Inspection conducted by:

• Inspector Signature

  Sign

• Document No.

Main Entrance

• Ready to Inspect?

  Yes

  No

  N/A

• Outside walks free of litter?

  Yes

  No

  N/A

• Entrance glass clean?

  Yes

  No

  N/A

• Entrance floor mats clean?

  Yes

  No

  N/A

• Inside floors clean?

  Yes

  No

  N/A

• Inside Walls clean?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Picture frames on walls clean?

  Yes

  No

  N/A

Waiting area (1st FL)

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Furniture clean?

  Yes

  No

  N/A

• White boards clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

Women Restroom (1st FL)

• Ready to Inspect?

  Yes

  No

  N/A

• Toilets clean?

  Yes

  No

  N/A

• Sinks clean and free of soap buildup?

  Yes

  No

  N/A

• Fixtures and drain pipes clean?

  Yes

  No

  N/A

• Mirrors clean?

  Yes

  No

  N/A

• Stainless steel polished?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Floor clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Supply adequately stock?

  Yes

  No

  N/A

Men Restroom (1st FL)

• Ready to Inspect?

  Yes

  No

  N/A

• Toilets clean?

  Yes

  No

  N/A

• Urinal clean?

  Yes

  No

  N/A

• Partitions clean?

  Yes

  No

  N/A

• Sinks clean and free of soap buildup?

  Yes

  No

  N/A

• Fixtures and drain pipes clean?

  Yes

  No

  N/A

• Mirrors clean?

  Yes

  No

  N/A

• Stainless steel polished?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Floor clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Supply adequately stock?

  Yes

  No

  N/A

Elevator - A -

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Ceilings are clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Elevator tracks clean?

  Yes

  No

  N/A

Elevator - B -

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Ceilings are clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Elevator tracks clean?

  Yes

  No

  N/A

Stairs - A -

• Ready to Inspect?

  Yes

  No

  N/A

• Steps clean?

  Yes

  No

  N/A

• Landing clean?

  Yes

  No

  N/A

• Railings clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Stairwell doors clean?

  Yes

  No

  N/A

Stairs - B -

• Ready to Inspect?

  Yes

  No

  N/A

• Steps clean?

  Yes

  No

  N/A

• Landing clean?

  Yes

  No

  N/A

• Railings clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Stairwell doors clean?

  Yes

  No

  N/A

Hallway 1st Floor

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

• Water fountain clean?

  Yes

  No

  N/A

Hallway 2nd Floor

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

• Water fountain clean?

  Yes

  No

  N/A

Hallway 3rd Floor

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

• Water fountain clean?

  Yes

  No

  N/A

Hallway 4th Floor

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

• Water fountain clean?

  Yes

  No

  N/A

Hallway 5th Floor

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

• Water fountain clean?

  Yes

  No

  N/A

Hallway 6th Floor

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

• Water fountain clean?

  Yes

  No

  N/A

Hallway 7th Floor

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

• Water fountain clean?

  Yes

  No

  N/A

Lounge 1st FL

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Furniture clean?

  Yes

  No

  N/A

• White boards clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

Lounge 2nd FL

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Furniture clean?

  Yes

  No

  N/A

• White boards clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

Lounge 3rd FL

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Furniture clean?

  Yes

  No

  N/A

• White boards clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

Lounge 4th FL

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Furniture clean?

  Yes

  No

  N/A

• White boards clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

Lounge 5th FL

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Furniture clean?

  Yes

  No

  N/A

• White boards clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

Lounge 6th FL

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Furniture clean?

  Yes

  No

  N/A

• White boards clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

Lounge 7th FL

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Furniture clean?

  Yes

  No

  N/A

• White boards clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

Laundry area - 1st Floor

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Doors clean?

  Yes

  No

  N/A

• Equipment clean?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows clean?

  Yes

  No

  N/A

Laundry area - 3rd Floor

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Doors clean?

  Yes

  No

  N/A

• Equipment clean?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows clean?

  Yes

  No

  N/A

Laundry area - 5th Floor

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Doors clean?

  Yes

  No

  N/A

• Equipment clean?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows clean?

  Yes

  No

  N/A

Laundry area - 7th Floor

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Doors clean?

  Yes

  No

  N/A

• Equipment clean?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows clean?

  Yes

  No

  N/A

Office 100

• Ready to inspect?

  Yes

  No

  N/A

• Office #

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Furniture clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

• Telephone clean?

  Yes

  No

  N/A

Office 100A

• Ready to inspect?

  Yes

  No

  N/A

• Office #

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Furniture clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

• Telephone clean?

  Yes

  No

  N/A

Office 100B

• Ready to inspect?

  Yes

  No

  N/A

• Office #

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Furniture clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

• Telephone clean?

  Yes

  No

  N/A

Office 100C

• Ready to inspect?

  Yes

  No

  N/A

• Office #

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Furniture clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

• Telephone clean?

  Yes

  No

  N/A

Office 100D

• Ready to inspect?

  Yes

  No

  N/A

• Office #

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Furniture clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

• Telephone clean?

  Yes

  No

  N/A

Office 115

• Ready to inspect?

  Yes

  No

  N/A

• Office #

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Furniture clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

• Telephone clean?

  Yes

  No

  N/A

Office 113

• Ready to inspect?

  Yes

  No

  N/A

• Office #

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Furniture clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

• Telephone clean?

  Yes

  No

  N/A

Office 114

• Ready to inspect?

  Yes

  No

  N/A

• Office #

• Floors clean?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

• Waste baskets and liners clean?

  Yes

  No

  N/A

• Furniture clean?

  Yes

  No

  N/A

• Air vents clean?

  Yes

  No

  N/A

• Windows and sills clean?

  Yes

  No

  N/A

• Blinds clean?

  Yes

  No

  N/A

• Telephone clean?

  Yes

  No

  N/A

Custodial Closet - 1st Floor

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Deep sink and drain clean?

  Yes

  No

  N/A

• Equipment stored properly?

  Yes

  No

  N/A

• Shelves organized adequately stocked?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• All chemicals stored below eye level?

  Yes

  No

  N/A

• All chemicals are properly label?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

Custodial Closet - 2nd Floor

• Ready to Inspect?

  Yes

  No

  N/A

• Floors clean?

  Yes

  No

  N/A

• Deep sink and drain clean?

  Yes

  No

  N/A

• Equipment stored properly?

  Yes

  No

  N/A

• Shelves organized adequately stocked?

  Yes

  No

  N/A

• Walls clean?

  Yes

  No

  N/A

• All chemicals stored below eye level?

  Yes

  No

  N/A

• All chemicals are properly label?

  Yes

  No

  N/A

• Area free of dust?

  Yes

  No

  N/A

Equipment?

• Ready to Inspect?

  Yes

  No

  N/A

• Brute and caddy clean and organized?

  Yes

  No

  N/A

• Vacuum clean?

  Yes

  No

  N/A

• Buffer clean?

  Yes

  No

  N/A

• Mop bucket and wringer clean?

  Yes

  No

  N/A

• Dust mop clean?

  Yes

  No

  N/A

• Safety goggles ready and accessible?

  Yes

  No

  N/A

• Safety gloves readily accessible?

  Yes

  No

  N/A

Safety Elements and compliance?

• Ready to Inspect?

  Yes

  No

  N/A

• Floor care: wet floor signs in use (when needed)

  Yes

  No

  N/A

• Proper foot wear for the task?

  Safe

  At Risk

  N/A

• Slips, trips and fall hazards?

  Safe

  At Risk

  N/A

• Eye / face protection: safety glasses, goggles?

  Safe

  At Risk

  N/A

• Hand protection: Disposable gloves chemical resistant gloves?

  Safe

  At Risk

  N/A

• Proper labeling of containers?

  Safe

  At Risk

  N/A

• Uniform: Appearance & in compliance?

  Safe

  At Risk

  N/A

Notes: Please indicate anything else not covered through the inspection.

• Your notes