Attachment_12_-_TE_7_QA_Cleaning_Audit_Form.pdf

Elliott Quality Control Inspection Form Universal

Date: Building: Floor:

Initials : Roomtype Name: IRoom Description: Room # Rtg:

Consumer Type: Rating: !comment:

Item R M ATP Comments Codes Item R M ATP Comments

Door Routine

Conditions

0 - Satisfactory

L - Litter

0 - Dust

CD - Corners/Details

SR - Streaks/ Residue

PB - Project/ Buildup

P - Polish

S - Spots/Fingermarks

V - Vacuum

U - Unstacked

Maintenance

Conditions

D - Damaged

NW - Non-Working

P - Paint

W - Worn

T - Torn

L - Leaking

R - Rust

Consumer Types

Chair Door Frame Bench

Kick Plate Sofa Ceiling Desk

Light Computer Table

Vent T able

Exit Sign End Table

Wall Credenza

Wall Box Telephone

Picture Lamp Clock Mailbox Sign/Label Partition

Bulletin Board Fan Whiteboard Filing Cabinet

Fire Alarm Overhead Bookcase

Fire Extinguisher Cabinet

Fire Extin. Cabinet Bookcase Window Glass - Int. Shelf

Window Sill/Frame Podium

Blinds Microwave

Radiator R - Random Consumer

Consumer Rating

Refrigerator

Elevator Tracks Sink/Fixtures

Call Button Counter

Banister/Railing Mirror

Step (1-5)

1 - Worst or Lowest

5 - Best or Highest

(Consumer Rating must be a whole number only -

.5 or 1/2 ratings are not allowed)

Soap Dispenser Walk-Off Mat Towel Dispenser

Waste Container Urinal/Fixtures Floor Toilet/F ixtures Floor Corner & Edges Toilet Paper Dispens1

Carpet Toilet Seat Cvr Disp.

Carpet Corner & Edge Shower/Fixtures

Baseboard ATP:

Enter ATP

Meter #

Locker

For Office Use

Sat:

Unsat

Total:

REV 10-12-2009

Copy Right 1 998-2010 Elliott Affiliates, Ltd. and may not be duplicated by any means without permission. CONFIDENTIAL AND PROPRIETARY INFORMATION.