12903 Exhibit E Task Perf Checklist.pdf

YES NO

Clean and Disinfect Door Handles and Light Switches Spot Clean Walls, Partitions, and Doors Clean, Refill and Disinfect Paper Dispensers Clean and Disinfect Toilets, Toilet Seats, Urinals, and Exposed Plumbing

Replenish Toilet Tissue, Seat Covers, Paper Towels, Sanitary Disposal Bags, and Verify there are Backup Supplies Kitchen, Break Room, and Conference Rooms

Exhibit E. TASK PERFORMANCE CHECKLIST (Daily - Monday through Thursday)

JANITORIAL SERVICE – TASK SUMMARY AND DAILY CHECKLIST

INSTRUCTIONS TO CONTRACTOR: Contractor will be responsible for supplying and completing this checklist every day that service is provided under the Contract. Check off each Task completed. Fill-in the date, time in, time out and sign in the appropriate space at the bottom of the page. Leave the checklist in a location specified by the On-Site Coordinator.

INSTRUCTIONS TO ODOT ON SITE COORDINATOR: Check-off whether the Tasks performed meet the requirements of the Performance Standards. For any task that does not meet requirements, provide comments at the bottom of the page. Date, sign and send to the Contract Administrator.

DAILY SERVICES

TASKS

Restrooms Sweep and Damp Mop Floors Clean and Disinfect Counter Surfaces

COMPLETED

(Contractor)

Vacuum Carpet (Traffic Areas) Sweep/Dust Mop Non-Carpeted Floors Clean and Disinfect Sink

Clean and Disinfect Sinks Clean Mirrors Clean, Refill and Disinfect Soap Dispensers Empty and Clean Trash and Sanitary Receptacles Replace Trash Liners and Sanitary Disposal Bags

Arrange Furniture Clean Marker Boards (ONLY IF ERASED) Empty Trash and Recycling Receptacles Interior Building and Office Areas Vacuum Carpet

Clean and Disinfect Countertops and Tables Spot Clean Cupboard Doors Spot Clean Exterior of All Appliances Clean and Disinfect Door Handles and Light Switches Carpet and Upholstery Maintenance Spot Clean Stains and Spillages Throughout the Area, Including Chairs

Vacuum Carpet Tile Sweep and Damp Mop Lobby Non-Carpeted Floors Clean and Disinfect All High Frequency Touch Surfaces Clean and Disinfect Countertops and Tables Clean and Disinfect Automated Testing Devices (ATD’s)

APPROVED

(ODOT)

Time In Date:

Signature:

ODOT

Work Reviewed and Approved (Check One): YES Date:

Signature:

Spot Clean Entrance Glass Spot Clean Interior Window Glass

Inform ODOT Staff (via the use of the onsite Daily Log Book) when supplies are needed (can liners, paper towels, hand soap, toilet tissue, toilet seat covers, sanitary disposal bags, and urinal blocks)

Contractor Time Out

Exterior Building Areas Sweep Exterior Entrance Area

Empty Outside Trash Receptacle, Replace Liner Remove Cobwebs and Debris

Carpet and Upholstery Maintenance Vacuum Interior Floor Mats Clean and Disinfect All Drinking Fountains Clean and Disinfect All Door Handles and Light Switches Empty Trash and Replace Liners Including Desk Side Empty Recycling Receptacles (Centralized)

Clean and Disinfect Vision Testing Machines Spot Clean Walls, Metal Corner Covers, Woodwork, Fixtures, Desk Fronts, and Lobby Cabinets Spot Clean Stains and Spillages Throughout the Area, Including Chairs

ODOT Comments:

NO

Building Security Building Security Check and Set Alarm

Clean and Disinfect ALL Door Handles and Light Switches Clean Fixtures, Desk Fronts, and Lobby Cabinets

Vacuum Carpet Clean and Disinfect Sink Clean and Disinfect Countertops, Cupboard Doors, and Tables Clean and Disinfect Exterior of All Appliances

Sweep and Damp Mop Non-Carpeted Floors

Vacuum Carpet Vacuum Carpet Tile Vacuum Interior Floor Mats Sweep and Damp Mop Lobby Non-Carpeted Floors Clean and Disinfect All High Frequency Touch Surfaces Clean and Disinfect All Drinking Fountains Clean and Disinfect Countertops and Tables

Clean, Disinfect and Refill Soap Dispensers Clean, Disinfect, and Polish Fixtures Clean Mirrors

Sweep and Wet Mop Floors Clean and Disinfect Counter Surfaces Clean and Disinfect Door Handles and Light Switches Clean and Disinfect Paper Dispensers Clean and Disinfect Walls, Partitions, and Doors Clean and Disinfect Sinks - Clean and Disinfect Toilets, Toilet Seats, and Urinals

Kitchen, Break Room, and Conference Rooms

Interior Building and Office Areas

Replace Trash Liners and Sanitary Bags Replenish Toilet Tissue, Seat Covers, Paper Towels, Sanitary Disposal Bags, and Verify there are Backup Supplies

Clean and Disinfect Door Handles and Light Switches Spot Clean Stains and Spillages Throughout the Area, Including Chairs Clean Marker Boards (ONLY IF ERASED) Empty Trash and Recycling Receptacles, Replace Liners

Exhibit E. TASK PERFORMANCE CHECKLIST (Weekly Services - Fridays)

JANITORIAL SERVICE – TASK SUMMARY AND DAILY CHECKLIST

INSTRUCTIONS TO CONTRACTOR: Contractor will be responsible for supplying and completing this checklist every day that service is provided under the Contract. Check off each Task completed. Fill-in the date, time in, time out and sign in the appropriate space at the bottom of the page. Leave the checklist in a location specified by the On-Site Coordinator.

INSTRUCTIONS TO ODOT ON SITE COORDINATOR: Check-off whether the Tasks performed meet the requirements of the Performance Standards. For any task that does not meet requirements, provide comments at the bottom of the page. Date, sign and send to the Contract Administrator.

WEEKLY SERVICES (Friday)

TASKS COMPLETED

(Contractor)

Restrooms

Empty and Clean Trash and Sanitary Receptacles

APPROVED

(ODOT)

Date:

Signature:

ODOT

Work Reviewed and Approved (Check One): YES Date:

Signature:

Clean Sneeze Guards Clean and Disinfect Automated Testing Devices (ATD’s)

Inform ODOT Staff (via the use of the onsite Daily Log Book) when supplies are needed (can liners, paper towels, hand soap, toilet tissue, toilet seat covers, sanitary disposal bags, and urinal blocks) Exterior Building Areas

Empty Outside Trash Receptacle, Replace Liner Remove Cobwebs and Debris Sweep Exterior Entrance Area

Empty Recycling Receptacles (centralized)

Clean and Disinfect Vision Testing Machines Spot Clean Walls, Metal Corner Covers, and Woodwork Clean Stains and Spillages Throughout the Area, Including Chairs Clean Entrance Glass Clean Interior Window Glass Clean Interior Vestibule Window Glass Carpet and Upholstery Maintenance Empty Trash and Replace Liners Including Desk Side

Contractor Time Out

Building Security Building Security Check and Set Alarm

ODOT Comments:

NO

Interior Building and Office Areas

Time In Date:

Signature:

ODOT

Work Reviewed and Approved (Check One): YES Date:

Signature:

Contractor Time Out

Descale Sinks Dust Building Surfaces, Ceilings, Walls, Corners, Window Sills, Table Bases and Light Fixtures Interior Building and Office Areas Dust Furniture (without disturbing any papers) Dust Building Surfaces, Ceilings, Walls, Corners, Window Sills, Table Bases and Light Fixtures Clean Lobby Chairs Damp Mop and Spray Buff Non-Carpeted Floors

Restrooms Replace Urinal Blocks

Kitchen, Break Room, and Conference Rooms

Exhibit E. TASK PERFORMANCE CHECKLIST (Monthly Services - 1st Week of the Month)

JANITORIAL SERVICE – TASK SUMMARY AND DAILY CHECKLIST

INSTRUCTIONS TO CONTRACTOR: Contractor will be responsible for supplying and completing this checklist every day that service is provided under the Contract. Check off each Task completed. Fill-in the date, time in, time out and sign in the appropriate space at the bottom of the page. Leave the checklist in a location specified by the On-Site Coordinator.

INSTRUCTIONS TO ODOT ON SITE COORDINATOR: Check-off whether the Tasks performed meet the requirements of the Performance Standards. For any task that does not meet requirements, provide comments at the bottom of the page. Date, sign and send to the Contract Administrator.

MONTHLY SERVICES (1st Week of the Month)

TASKS COMPLETED

(Contractor)

ODOT Comments:

APPROVED

(ODOT)

NO

AS NEEDED SERVICES

Check/Replace Lamps/Fluorescent Tubes

Restrooms Descale Toilets and Urinals Descale Sinks Dust Building Surfaces, Ceilings, Walls, Corners, and Light Fixtures

Date:

Signature:

ODOT

Work Reviewed and Approved (Check One): YES Date:

Signature:

Wet Scrub and Wax ALL Non-Carpeted Floors 2-TIMES PER YEAR – (January and July) Restrooms Wash Restroom Ceiling Vents and Light Fixtures

PERIODIC SERVICES

Exterior Building Areas Clean Exterior Window Glass

Contractor Time Out

1-TIME PER YEAR – (May) Clean Window Blinds or Other Window Coverings Carpet Cleaning

Carpet Cleaning High Traffic Areas Dust Wood Art Fixture on Ceiling Vacuum and Wash ALL Air Grills Wash ALL Light Fixtures Window Cleaning

Exhibit E. TASK PERFORMANCE CHECKLIST (Periodic Services)

JANITORIAL SERVICE – TASK SUMMARY AND DAILY CHECKLIST

INSTRUCTIONS TO CONTRACTOR: Contractor will be responsible for supplying and completing this checklist every day that service is provided under the Contract. Check off each Task completed. Fill-in the date, time in, time out and sign in the appropriate space at the bottom of the page. Leave the checklist in a location specified by the On-Site Coordinator.

INSTRUCTIONS TO ODOT ON SITE COORDINATOR: Check-off whether the Tasks performed meet the requirements of the Performance Standards. For any task that does not meet requirements, provide comments at the bottom of the page. Date, sign and send to the Contract Administrator.

TASKS COMPLETED

(Contractor)

ODOT Comments:

APPROVED

(ODOT)

NO

Restrooms Wet Scrub/Wet Strip And Seal Restroom Floor Interior Building and Office Areas

Interior Building and Office Areas

4-TIMES PER YEAR – (March, June, September and December)