12 Appendix F - Janitorial Service Checklist.pdf

SERVICES TO BE PROVIDED: M T W T F TOTAL M T W T F TOTAL M T W T F TOTAL M T W T F TOTAL

NOTE: JANITORIAL CONTRACTORS MUST WEAR IDENTIFICATION BADGES

AT ALL TIMES WHILE CLEANING THE MILITARY FACILITIES.

To be accomplished on the first week of the Month

Insert Date when last provided

Insert Date if provided this month

SPOT CLEAN CARPETS

CHANGE HVAC FILTERS

WASH/DISINFECT ALL TRASH RECEPTACLES

Military Service Representative Name concurring that ALL required tasks were completed for each week (Please Print)

DAMP DUST ALL SURFACES****

CLEAN HVAC RETURN, DIFFUSER & GRILLES

CLEAN GLASS SURFACES (EXT & INT) INSIDE & OUT

DE-SCALE TOILET BOWLS & URINALS

REPLACE LIGHT BULBS AND TUBES (FLUORESCENT

OR LED) FOR LIGHT FIXTURES (RELAMPING)

Contractor Representative Name certifying that ALL required tasks were completed for each week (Please Print)

SHAMPOO ALL CARPETS, REMOVING ALL DIRT AND

NON-PERM SPOTS OR STAINS***

4x - Year

CLEAN LIGHT FIXTURES

HIGH DUSTING/CLEANING

1x - Month

As Required

SCAN & EMAIL Checklist at end of each month to the following POCs: JANITORIAL CHECKLIST FOR FACILITIES COE POC, Phone Number, and assigned territory Address___________________________

Recruiting Station ID:______________

MONTH/YEAR__________________

CALENDAR

DATES: NOTATE "RATING" AND ANY COMMENTS

ON THE QUALITY OF THE WORK BELOW.

FREQUENCY

REQUIRED

TRASH REMOVAL & CHANGE LINERS *

CLEAN & DISINFECT ALL REST ROOM FIXTURES AND

FLOORS **

FURNISH RESTROOM SUPPLIES

VACUUM ALL FLOORS & UPHOLSTERED FURNITURE

DAMP MOP ALL HARD SURFACE FLOORS

CLEAN AND DISINFECT WATER FOUNTAIN, AND WIPE

DRY

CLEAN & DISINFECT ALL HIGH-TOUCH SURFACES

(HANDLES, KNOBS, BUTTONS, KEYPADS, SWITCHES)

SPOT CLEAN ENTRANCE DOOR & INTERIOR GLASS

TO REMOVE FINGERPRINTS & SMEARS

FORM UPDATED 4/30/2020 SIGNATURE

*** Steam clean if required to remove RECRUITER TELEPHONE__________________________________**** Damp dust in accordance with the PWS

I - Insufficient (Supplies)U - Unsatisfactory

RATING LEGEND:

** No rust, encrustation or water rings shall exist RECRUITER IN CHARGE___________________________________S - Satisfactory M - Marginal

* Change waste basket liners as necessary

2X or 3X - Week (USACE

TO SPECIFY)

1x - Year

To be accomplished ONCE each quarter in MAR, JUN, SEP and DEC

Insert Date if provided this month

To be accomplished TWICE each year in APR & OCT

To be accomplished ONCE each year in OCT

Insert Date when last provided

2x - Year

EXHIBIT D.1 - Janitorial Service Checklist

Recruiter Checklist