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Quality Assurance Plan Fire Building
| Evaluation Worksheet |
| Inspector:_____________________________ |
| Monthly Payment Analysis |
| Date Inspected:________________________ |
D = Daily (Monday – Friday: Main Office, Fire Dispatch Center, and from June 1 through September 30, Fire Warehouse) 3 = Monday, Wednesday, Friday, Office Warehouse and 3 non-consecutive days from October 1 through May 31, Fire Warehouse) W = Weekly … M = Monthly … T = Twice yearly … Y = Yearly … S = Satisfactory … U = Unsatisfactory
| General Office Space Cleaning / Servicing |
| Quote |
Work Requirement
Standard of Performance
Frequency
% of Pay
| Carpeted floors and mats - general |
| B15.a(1) |
| X |
| Carpeted floors – deep clean |
| B15.a(2) |
X
| Mats and Metal Grates |
| B15.a(3) |
X
| Non-carpeted floors and mats |
| B15.a(4) |
| X |
| Furniture and fixtures |
| B15.a(5) |
X
| Walls and Ceilings |
| B15.a(6) |
X
| Vertical and Venetian blinds |
| B15.a(7) |
X
X
X
| Trash removal |
| B15.a(14) |
| X |
| Strip and Seal Vinyl Floors |
| B15.a(16) |
X
Total Deductions
Net payment for General Office Space Cleaning / Servicing
Restrooms / Shower Facilities Quote
Frequency
% of Pay
| Descale toilet bowls and urinals |
| B15.b(1) |
| X |
| Toilet stalls, handrails and toilet paper holders |
| B15.b(2) |
| X |
| Walls and ceilings |
| B15.b(6) |
X
| Strip and seal vinyl floors |
| B15.a(16) |
X
Total Deductions
Net payment for Restrooms / Shower Facilities
| Breakroom / Kitchenette / Drinking Fountain |
| Quote |
Frequency
% of Pay
| Tables, countertops and cabinets |
| B15.c(2) |
| X |
| Strip and Seal Vinyl Floors |
| B15.c(4) |
X
| Drinking fountains |
| B15.c(6) |
| X |
Total Deductions
Net payment for Breakroom / Kitchenette / Drinking Fountain
| Janitorial Closets/Cabinets |
| Quote |
Frequency
% of Pay
| Janitorial Closets/Cabinets |
| B15.d |
| X |
Total Deductions
Net payment for Breakroom / Kitchenette / Drinking Fountain
Notes:
| Net payment for General Office Space Cleaning / Servicing |
| $ |
| Net payment for Restrooms / Shower Facilities |
| $ |
| Net payment for Breakroom / Kitchenette / Drinking Fountain |
| $ |
| Net payment for Janitorial Closets/Cabinets |
| $ |
Attachment 1