INSPECTION              

BLDG ______________________________________FLOOR________ DATE _______ TIME _______ AM   PM

EMPLOYEE________________________________ INSPECTOR_________________________________

#

GENERAL CLEANING

+
-

hot spot

COMMENTS

RESTROOM CLEANING

+
-

hot spot

COMMENTS

1

Finger marks

Floor           dust mop

2

Door glass

mopped/vacuumed

3

Partition glass

corners

4

Dust                    low

carpet spots

5

Dust medium

6

Dust high

Toilet              seats

7

Desks

Inside

8

Telephones

Outside

9

Ash trays

Base

10

Waste containers

11

Chairs

Sinks              general

12

File cabinets

Hardware top

13

Window sills

Hardware under

14

Blinds and Drapes

15

Woodwork

Urinals            inside

16

Walls

under

17

Drinking fountains

chrome

18

Vents and Grills

19

Light fixtures

Dispensers      Towel

20

Windows

Toilet Paper

21

Vacuum           Traffic

Napkin

22

V Edges

Seat cover

23

V under desks

24

V entrance matts

Mirrors

25

Spot clean carpet

Counters

26

Carpet Cleaning

27

Floor             dustmop

Disposal        Trash

28

Spot Mop

Napkins

29

Corners Mop

30

Wax

Light Fixtures

31

Strip

Ledges

32

Janitor closet

Odor

33

EQUIPMENT runs

SAFETY       labels

34

Vacuum  too full

msds sheets

35

Brushes

electrical cords

36

Other

Other

37

SUPPLIES     Other

SECURITY locked

38

Mop & Dustmop  head

Alarm set

39

Disinfectant

Employee locked in

40

Client products

Motor equip secure

COMMENTS