Attachment 5 AppendixC_QualityAssuranceChecklist 4_11_23.docx
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| File | Type | Posted |
|---|---|---|
| Attachment 4 Appendix B_performance req. 4_11_23.docx | DOCX document | |
| Attachment 2 Schedule of Items CCRD 4_11_23.xlsx | XLSX spreadsheet | |
| 1282B123Q0098.pdf | ||
| Attachment 7 Site Location Map toilet facility cleaning.pdf | ||
| Attachment 6 CCRD facility cleaning table 2023.pdf | ||
| Attachment 3 Appendix A CCRD Facility locations_directions 2023.pdf | ||
| Attachment 1 Performance Work Statement CCRD 4_11_23.pdf | ||
| Attachment 10 WD2015_5437 R20_Grand.pdf | ||
| Attachment 9 WD2015_5419 R23_Clear Creek.pdf | ||
| Attachment 8 Experience Questionnaire.docx | DOCX document |
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Appendix C: Quality Assurance Checklist April 1, 2023
Clear Creek Ranger District Recreation Site Vault Toilet Facility Cleaning
Inspector: ________________________________ Inspection Date: ______________________
All services are performed on both Monday and Friday.
Group A: Berthoud Pass Trailhead
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids once per month or as needed.
Entrance sidewalk is pressure washed and clear of dirt and debris, once a month or as needed.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Toilet paper jumbo rolls containers are full.
Trash within 25’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Group B: Bierstadt Trailhead Toilet Facility
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids once per month or as needed.
Entrance sidewalk is pressure washed and clear of dirt and debris, once a month or as needed.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 25’’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Group B: Guanella Pass Trailhead Toilet Facility
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids once per month or as needed.
Entrance sidewalk is pressure washed and clear of dirt and debris, once a month or as needed.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 25’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
All services are performed on Friday.
Group C: West Chicago Creek/Hells Hole Toilet Facility
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids once per month or as needed.
Entrance sidewalk is pressure washed and clear of dirt and debris, once a month or as needed.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 25’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Group C: Lower Chicago Forks PG Toilet Facility
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids once per month or as needed.
Entrance sidewalk is pressure washed and clear of dirt and debris, once a month or as needed.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 25’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Group C: Upper Chicago Forks PG Toilet Facility
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids once per month or as needed.
Entrance sidewalk is pressure washed and clear of dirt and debris, once a month or as needed.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 25’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Group C: Ponder Point PG Toilet Facility
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids once per month or as needed.
Entrance sidewalk is pressure washed and clear of dirt and debris, once a month or as needed.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 25’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Group C: Juniper Pass PG Toilet Facility
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids once per month or as needed.
Entrance sidewalk is pressure washed and clear of dirt and debris, once a month or as needed.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 25’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Group C: Cloudland PG Toilet Facility
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids once per month or as needed.
Entrance sidewalk is pressure washed and clear of dirt and debris, once a month or as needed.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 25’ of building is picked up.
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