USFSP - Custodial Services - Inspection Form

• Client

• Assessment Location

• Building:

• Inspection conducted by:

• Inspector Signature

  Sign

• Document No.

Elevator Bank 1

• 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 Bank 2

• 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

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

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

Hallway 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

• 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 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

• 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 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

• 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 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

• 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 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

• 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

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

Custodial Closet - 3rd FL

• 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 - 5th FL

• 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

Laundry area

• 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

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