A22 - ATTACHMENT 1 QUALITYASSURANCE MONITORING FORM.pdf

This is a Quality Assurance Monitoring Form used for inspecting custodial services at Saylorville Lake's facilities, specifically designed as a checklist for evaluating cleaning and maintenance standards. The form includes detailed inspection criteria across multiple facility areas including comfort stations/shower buildings/vault restrooms, refuse/litter pickup, picnic and group camp shelters, fish cleaning stations, and miscellaneous areas.

The inspection form contains a comprehensive checklist evaluating cleanliness standards with ratings of "Pass," "Needs Care," "No Pass," or "NA" for each item. Key inspection points include sanitary fixtures, surfaces, waste management, and facility maintenance covering items such as sinks/faucets, counters, mirrors, floors, walls, toilets, showers, and exterior areas. The form concludes with an overall evaluation section rating performance as Excellent, Satisfactory, or Unsatisfactory, along with space for inspector comments. All items shown in the example form are marked as "Pass" with an overall "Excellent" rating.