Title Page

  • Conducted on

  • Scoring By

Scoring

Are trash cans throughout the facility overflowing or need emptied?

  • Letter Grade (A B C D F)

  • Scoring (A=4 B=3 C=2 D=1 F=0)

Are the work areas free of trash and debris?

  • Letter Grade (A B C D F)

  • Scoring (A=4 B=3 C=2 D=1 F=0)

Are brooms, mops, dust pans, etc. in their designated places?

  • Letter Grade (A B C D F)

  • Scoring (A=4 B=3 C=2 D=1 F=0)

Are exit doors free and clear of obstructions?

  • Letter Grade (A B C D F)

  • Scoring (A=4 B=3 C=2 D=1 F=0)

Are the floors free of slips and/or trip hazards?

  • Letter Grade (A B C D F)

  • Scoring (A=4 B=3 C=2 D=1 F=0)

Are the restrooms neat and tidy?

  • Letter Grade (A B C D F)

  • Scoring (A=4 B=3 C=2 D=1 F=0)

Are there machine leaks which need to be cleaned up?

  • Letter Grade (A B C D F)

  • Scoring (A=4 B=3 C=2 D=1 F=0)

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