
BUILDING___________________________FLOOR___________________ AREA___________________
DATE_____________TIME___________ INSPECTOR__________________________________________
Cleaning Tasks are Scored on a Scale of 1 to 10; 1 = poor;
10 = excellent
Executive
Offices, Medical, Conference Rooms 1. Floors (vacuum, spot mop) 2. Baseboards & Walls 3. Ceilings 4. Glass 5. Wastebaskets 6. AC/Vents 7. Furniture 8. Blinds 9. Carpet Spotting |
(90) [_] [_] [_] [_] [_] [_] [_] [_] [_] |
Halls,
Aisles, Stairs 1. Floors 2. Baseboards & Walls 3. Stairs & Rails 4. Glass 5. Wastebaskets 6. AC/Vents 7. Furniture 8. Vending Areas 9. Water Fountains 10.Janitor Closets/Equipment |
(100) [_] [_] [_] [_] [_] [_] [_] [_] [_] [_] |
|
Offices, Cubicles 1. Floors (vacuum, spot mop) 2. Baseboards & Walls 3. Ceilings 4. Glass 5. Wastebaskets 6. AC/Vents 7. Furniture 8. Blinds 9. Carpet Spotting |
(90) [_] [_] [_] [_] [_] [_] [_] [_] [_] |
Break Rooms 1. Floors 2. Counters & Walls 3. Wastebaskets 4. Sink 5. Refrigerator 6. Blinds 7. Vents Restrooms |
(70) [_] [_] [_] [_] [_] [_] [_] (100) |
|
Data Processing 1. Floors (vacuum, spot mop) 2. Baseboards & Walls 3. Ceilings 4. Glass 5. Wastebaskets 6. AC/Vents 7. Furniture |
(70) [_] [_] [_] [_] [_] [_] [_] |
1. Floors 2. Baseboards & Walls 3. Fixtures 4. Dispensers 5. Partitions 6. Mirrors 7. Floor Drains 8. Exhaust Fans 9. Shower Stalls 10. Doors |
[_] [_] [_] [_] [_] [_] [_] [_] [_] [_] |
|
Lobby, Entry 1. Floors (vacuum, spot mop) 2. Baseboards & Walls 3. Ceilings 4. Glass 5. Wastebaskets 6. Ashtrays 7. Furniture 8. Elevators 9. Blinds 10. Walk-off Mats |
(100) [_] [_] [_] [_] [_] [_] [_] [_] [_] [_] |
Total Evaluation Points |
___ |