Paxico_Checklists.pdf

KANSAS DEPARTMENT OF TRANSPORTATION

DAILY QUALITY CONTROL CHECKLIST

MINIMUM REQUIREMENTS

Rest Area: ____________________________________________________Date ________________________

Supervisor: ____________________________________________ Water Usage: _________________ Gallons

Needed Non-Emergency Repairs: ______________________________________________________________

Major Malfunctions: Contact_____________________________________ Phone (_____) _______________

COMFORT STATION:

Men's Restroom ______7 A.M. ______Noon ______5 P.M. ______ 8 P.M. Clean/Disinfect urinals, toilets and fixtures ______7 A.M. ______Noon ______5 P.M. ______ 8 P.M. Clean/Disinfect sinks and fixtures ______7 A.M. ______Noon______5 P.M. ______ 8 P.M. Sweep, mop floors, spot clean as necessary ______ Collect trash when 3/4 full or at least once a day ______ Clean and polish soap dispensers, refill as necessary ______ Clean and polish towel dispensers, refill as necessary ______ Clean and polish hand dryers and mirrors ______ Remove graffiti ______ Clean stall partitions and doors ______ Clean baseboard area (floor corners, edges, etc.)

______ Check exhaust fan and remove cobwebs ______ Spot clean windows and doors

Women's Restroom ______7 A.M. ______Noon ______5 P.M. ______ 8 P.M. Clean/Disinfect urinals, toilets and fixtures ______7 A.M. ______Noon ______5 P.M. ______ 8 P.M. Clean/Disinfect sinks and fixtures ______7 A.M. ______Noon ______5 P.M. ______ 8 P.M. Sweep, mop floors, spot clean as necessary ______ Collect trash when 3/4 full or at least once a day ______ Clean and polish soap dispensers, refill as necessary ______ Clean and polish towel dispensers, refill as necessary ______ Clean and polish hand dryers and mirrors ______ Remove graffiti ______ Clean stall partitions and doors ______ Clean baseboard area (floor corners, edges, etc.)

______ Check exhaust fan and remove cobwebs ______ Spot clean windows and doors

GROUNDS MAINTENANCE:

______ Clean information board glass ______ Clean around and at trailer dump station ______ Empty trash barrels when 3/4 full or once a day ______ Disinfect drinking fountain ______ Empty all ashtrays ______ Pick up litter from parking lots and grounds ______ Wash picnic table tops, seats and concrete slabs ______ Check water faucets and hydrants for proper operation ______ Remove snow and ice from sidewalks when required

WEEKLY QUALITY CONTROL CHECKLIST

Rest Area: _________________________________________________ Date__________________________

Supervisor: _______________________________________________________________________________

Lagoon Level: Cell #1_____ Ft. Cell #2_____ Ft. Cell #3_____ Ft.

Equipment Maintenance: _____________________________________________________________________

COMFORT STATION:

Men's Restroom ______ Scrub floors with brush and germicide

______ Clean and wash doors inside and out

______ Clean windows, frames and sills inside and out

Women's Restroom ______ Scrub floors with brush and germicide

______ Clean and wash doors inside and out

______ Clean windows, frames and sills inside and out

Storage Room ______ Sweep floors

______ Dust and clean shelves

______ Keep in neat and orderly fashion

GROUNDS MAINTENANCE:

______ Mow grass to maintain height of 3" to 5" weekly or as necessary.

______ Sweep sidewalks

______ Trim grass around buildings, walks & trees

MONTHLY QUALITY CONTROL CHECKLIST

Rest Area: __________________________________________________ Date__________________________

Supervisor: ____________________________________________________________________________________

COMFORT STATION:

Men's Restroom ______ Thoroughly wash all interior walls

______ Clean light fixtures

______ Wash all trash cans with germicidal cleaner

______ Dust and wash heating vents and heaters

______ Paint structures as required

Women's Restroom ______ Thoroughly wash all interior walls

______ Clean light fixtures

______ Wash all trash cans with germicidal cleaner

______ Dust and wash heating vents and heaters

______ Paint structures as required

Storage Room ______ Mop concrete floors

GROUNDS MAINTENANCE:

______ Wash trash cans inside and out bi-monthly

______ Trim grass around buildings, walks, trees, etc.

______ Remove weeds from shrubbery

______ Rake and remove all leaves

______ Mow grass to maintain height of 6” around lagoon

______ Perform other landscape duties as required

REST AREA INSPECTION REPORT

DISTRICT: __________________________ Date: ________________________________

COUNTY: __________________________ Time: ________________________________

REST AREA: __________________________________________________________________________

INSPECTOR'S NAME: __________________________________________________________________

SATISFACTORY UNSATISFACTORY

COMFORT STATION:

______ ______ Floors ______ ______ Baseboards, Edges, Corners (Floor) ______ ______ Toilets-Urinals ______ ______ Sink-Fixtures ______ ______ Hand Dryers ______ ______ Stall Partitions ______ ______ Soap Dispensers ______ ______ Paper Towel Dispensers ______ ______ Mirrors ______ ______ Walls-Graffiti ______ ______ Trash Cans ______ ______ Windows-Doors-Sills-Screens ______ ______ Cobwebs ______ ______ Water Usage Logs ______ ______ Storage Room General Condition ______ ______ Storage Room Floor ______ ______ Storage Room Shelves/Chemicals ______ ______ Other _________________________________________________

GROUNDS:

______ ______ Trash Cans ______ ______ Litter ______ ______ Information Board ______ ______ Sidewalks (Swept, Shoveled, etc.)

______ ______ Picnic Tables and Picnic Shelter Floors ______ ______ Mowing/Raking ______ ______ Trimming ______ ______ Weeding ______ ______ Drinking Fountain ______ ______ Trailer Dump Station

ATTENDANTS:

______ ______ Vest or Shirt Identifying Attendants

COMMENTS: