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About
Janitorial Inspection
To complete the form below, all questions must be answered, except as noted.
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First Name
*
Last Name
*
Email Address
*
Company/Location
*
Offices and Common Areas
Dusting
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Vacuuming
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Trash
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Floors-Hard
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Furniture
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Glass/windows
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Other (explain)
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Breakroom / Kitchen Area
Counters/Surfaces
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Sinks
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Appliances
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Trash
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Floors
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Tables/Chairs
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Other (explain)
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Restrooms
Toilets/Urinals
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Sinks
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Counters/Surfaces
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Trash
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Dispensers
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Mirrors
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Partitions
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Floors
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Other (explain)
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Exterior
Other (explain)
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Miscellaneous Inspection Report
Log Books
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Security Requirements
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Uniform Staff
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Janitorial Closet
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
MSDS in Closet
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Supplies
*
Excellent
Above Average
Satisfactory rating-meets contract requirements
Improvement required immediately
Unacceptable
N/A
Comments (optional)
Additional Comments/Concerns (optional)
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