C-2 Attachment 2 - Cleaning Contract Inspection Form.xlsx

XLSX spreadsheet 36 KB Posted

Attached to
Diamond Lake R. D. Recreation Site Cleaning
Solicitation number
1240BK22Q0036
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Shower Buildings

Cleaning Contract Inspection Form
Building TypeShower Buildings
Site
Scheduled Service Date
Inspection Date
Restroom #
Time In
Time Out
Initials
Exterior
1-Surfaces dusted, dead insects/cobwebs removed
2-Graffiti removed/ reported
3-Walkways swept
4-Trash/Litter removed
5-Doors cleaned/disinfected
6-Fountains clean
7-Grey water drains clean
Interior
1-Surfaces dusted, dead insects/cobwebs removed
2-Walls, doors, partitions, handrails, latches, handles, clean/sanitized
3-Graffiti removed/ reported
4-Hand dryers & area clean
5-Stool/urinals flushed, stoppages plunged/reported
6-Stools/seats/urinals cleaned/disinfected
7-Plumbing fixtures clean
8-Deodorizing cakes fresh/urinal clean
9-Basins clean
10-Mirrors clean, no streaks/spots
11-Seat cover dispensers & feminine napkin containers emptied/clean/ liner
12-Toilet paper refilled
13-Floors clean/dry
14-Waste receptacles emptied/clean
15-Shower walls/floors clean, seats dry
16-Repair/service needs reported
Narrative:
Communications:

Flush Toilets

Cleaning Contract Inspection Form
Building TypeFlush Toilet Buildings
Site
Scheduled Service Date
Inspection Date
Restroom #
Time In
Time Out
Initials
Exterior
1-Surfaces dusted, dead insects/cobwebs removed
2-Graffiti removed/ reported
3-Walkways swept
4-Trash/Litter removed
5-Doors cleaned/disinfected
6-Fountains clean
7-Grey water drains clean
Interior
1-Surfaces dusted, dead insects/cobwebs removed
2-Walls, doors, partitions, handrails, latches, handles, clean/sanitized
3-Graffiti removed/ reported
4-Hand dryers & area clean
5-Stool/urinals flushed, stoppages plunged/reported
6-Stools/seats/urinals cleaned/disinfected
7-Plumbing fixtures clean
8-Deodorizing cakes fresh/urinal clean
9-Basins clean
10-Mirrors clean, no streaks/spots
11-Seat cover dispensers & feminine napkin containers emptied/clean/ liner
12-Toilet paper refilled
13-Floors clean/dry
14-Waste receptacles emptied/clean
15-Repair/service needs reported
Narrative:
Communications:

Vault Toilets

Cleaning Contract Inspection Form
Building TypeVault Toilet Buildings
Site
Scheduled Service Date
Inspection Date
Restroom #
Time In
Time Out
Initials
Exterior
1-Surfaces dusted, dead insects/cobwebs removed
2-Graffiti removed/ reported
3-Walkways swept
4-Trash/Litter removed
5-Doors cleaned/disinfected
6-Fountains clean
7-Grey water drains clean
Interior
1-Surfaces dusted, dead insects/cobwebs removed
2-Walls, doors, handrails, latches clean/sanitized
3-Graffiti removed/ reported
4-Stools/seats/urinals cleaned/disinfected
5-Seat and lid down
6-Toilet paper refilled
7-Floors clean/dry
8-Deodorizing chemicals used properly (if provided)
9-Repair/service needs reported
Narrative:
Communications:

Fish Cleaning

Cleaning Contract Inspection Form
Building TypeFish Cleaning Stations
Scheduled Service Date
Inspection Date
Site
Time In
Time Out
Initials
Exterior
1-Surfaces dusted, dead insects/ cobwebs removed
2-Graffiti removed/ reported
3-Walkways swept
4-Trash/Litter removed
5-Doors cleaned/disinfected
6-Fountains clean
7-Grey water drains clean
Interior
1-Surfaces dusted, dead insects/cobwebs removed
2-Walls, doors, partitions, switches panel, clean/sanitized
3-Graffiti removed/ reported
4-Hand dryers & area clean
5-Fish cleaning sinks clean (disposal basket & counter tops)
6-Floors clean/dry
7-Waste receptacles emptied/clean
8-Repair/service needs reported
Narrative:
Communications:

Pavilion

Cleaning Contract Inspection Form
Building TypePavilion
SiteSouth Shore Day Use
Scheduled Service Date
Inspection Date
Time In
Time Out
Initials
Exterior
1-Surfaces dusted, dead insects/ cobwebs removed
2-Graffiti removed/ reported
3-Walkways swept
4-Trash/Litter removed
5-Fountains clean
6-Grey water drains clean
Interior
1-Surfaces dusted, dead insects/cobwebs removed
2-Graffiti removed/ reported
3-Sink basin & faucet clean
4-Counter tops & tables clean/dry
5-Floors clean/dry
6-Waste receptacles emptied/clean
7-Repair/service needs reported
Narrative:
Communications:

Door Sign In Date/Time Date/Time Date/Time Date/Time Date/Time Date/Time Date/Time Date/Time

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