GSA_1181_cleaning_checklist.pdf
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- Solicitation number
- SP4510-19-Q-1013
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Attachment A, the cleaning checklist that will be used to oversee contractor performance.
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| File | Type | Posted |
|---|---|---|
| Pendleton_Cust_Scope_w_Bid_Schedule_for_Synopsis_Amendment_1.docx | DOCX document | |
| Amendment_01_for_contract_SP451019Q1013.docx | DOCX document | |
| Pendleton_Cust_Scope_w_Bid_Schedule_for_Synopsis.docx | DOCX document |
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Text version
GENERAL SERVICES ADMINISTRATION
PUBLIC BUILDINGS SERVICE
READ *Instructions* on reverse
SERVICES PERFORMED
CATEGORY
A
OUTSIDE
WORK
B
ENTRANCE
LOBBY &
CORRIDOR
CLEANING
C*
ELEVATOR
AND
ESCALATOR
CLEANING
D
FLOOR
CARE
E
ROOM
CLEANING
F
WINDOW
CLEANING
G
HIGH
CLEANING
H
TOILET
ROOM
CLEANING
I
STAIRWAY
CLEANING
ITEM
1. COURTS
2. DRIVES
3. LAWNS
4. WALKS
5. FLOORS-CORNERS
6. BASEBOARDS
7. WALL SPOTTING
8. METAL SURFACES
9. GLASS SURFACES
10. JARDINIERES & URNS
11. DRINKING FOUNTAINS
12. TELEPHONE BOOTH
13. DOORS
14. METAL SURFACES
15. WALLS
16. FLOORS & CORNERS
17. TREADS & RISERS
18. SWEEPING
19. SCRUBBING
20. BUFFING
21. WAXING
22. FURNITURE
23. METAL SURFACES
24. MIRRORS
25. WALL SPOTTING
26. WINDOW SILLS
27. RADIATORS - GRILLES
28. FLOORS
29. RUGS
30. BASEBOARDS - DOORS
31. WASH BASINS
32. GLASS
33. SASH
34. SILLS
35. BLINDS
36. FILES
37. GLASS PARTITIONS
38. LIGHT & TRANSOMS
39. PIPES
40. FLOORS - CORNERS
41. FIXTURES
42. MIRRORS
43. STALLS
44. WINDOW SILLS
45. BASEBOARDS - DOORS
46. RAIL & LANDINGS
47. TREADS & RISERS
48. WALL SPOTTING
49. INSECT & RODENT CONTROL
CONDITION OR STATUS
50. PAPER & TRASH COLLECTION
52. CUSTODIAL EQUIPMENT
59. SAFE WORK-PRACTICES
58. LOCKER ROOMS
57. GEAR AND STORAGE ROOMS
56. FOREMAN'S WORK REPORTS & RECORDS
53. CLEANING MATERIALS & SUPPLIES
54. EMPLOYEE TRAINING & SUPERVISION
55. FOREMAN'S CLEANING SCHEDULES51. UTILITY WORK
*When a building has no elevators or escalators, assign a rating of "5". GSA FORM 1181 FEB 64
CLEANING
INSPECTION REPORT
REG.
BUILDING AND ADDRESS
INSPECTED BY (Name and title)
RATING
(1 thru 5)
ITEM
NO.
CONDITIONS TO BE CORRECTED
AND REMARKS
DATE CORRECTED
AND SIGNATURE
AREA FIELD OFFICE DATE OF LAST REPORT DATE OF THIS REPORT RATING
INSTRUCTIONS
RATING SCALE
GSA Handbook of "Operation and Maintenance of Real Property" prescribes the use of this form to record on-site inspection of cleaning operations in GSA operated and in leased owner-serviced buildings.
The total "Rating" for each inspection shall be obtained by adding the rating assigned to each Service Category A thru I and to each Item 49 thru 59. Record this total "Rating" in the block so captioned. The highest possible rating is 100.
When rating, take into consideration the current level of cleaning authorized for GSA operated buildings or requirements of the lease. Also consider, the elapsed time for periodic cleaning scheduled on GSA Form 1825, Periodic Building Cleaning Schedule. Under remarks identify floor or other locations inspected.
When the inspection has been completed and corrections are required, forward a copy of this report to the appropriate GSA foreman or the lessor's agent for action.
Completed actions are to be returned to the Buildings Manager and filed with the original inspection report in GSA Form 1183, Record of Building Inspection Reports.
5. Every Phase of the operation is satisfactory.
4. The standard of each operation is being met intermittently.
3. Standards are being maintained. Action required to increase quality of performance.
2. The operation is considerably below requirements and immediate action necessary to increase the quality performance.
1. The operation is inadequate.
ITEM
NO.
DATE CORRECTED
AND SIGNATURECONDITIONS TO BE CORRECTED AND REMARKS
U.S. GPO: 1975-0-210-864/42
Accessible FormNet VisualFill - WendlerJ
GENERAL SERVICES ADMINISTRATION PUBLIC BUILDINGS SERVICE
READ *Instructions* on reverse
SERVICES PERFORMED
CATEGORY
A
OUTSIDE
WORK
B
ENTRANCE
LOBBY &
CORRIDOR
CLEANING
C*
ELEVATOR
AND
ESCALATOR
CLEANING
D
FLOOR
CARE
E
ROOM CLEANING
F
WINDOW
CLEANING
G
HIGH
CLEANING
H
TOILET
ROOM
CLEANING
I
STAIRWAY
CLEANING
ITEM
1. COURTS
2. DRIVES
3. LAWNS
4. WALKS
5. FLOORS-CORNERS
6. BASEBOARDS
7. WALL SPOTTING
8. METAL SURFACES
9. GLASS SURFACES
10. JARDINIERES & URNS
11. DRINKING FOUNTAINS
12. TELEPHONE BOOTH
13. DOORS
14. METAL SURFACES
15. WALLS
16. FLOORS & CORNERS
17. TREADS & RISERS
18. SWEEPING
19. SCRUBBING
20. BUFFING
21. WAXING
22. FURNITURE
23. METAL SURFACES
24. MIRRORS
25. WALL SPOTTING
26. WINDOW SILLS
27. RADIATORS - GRILLES
28. FLOORS
29. RUGS
30. BASEBOARDS - DOORS
31. WASH BASINS
32. GLASS
33. SASH
34. SILLS
35. BLINDS
36. FILES
37. GLASS PARTITIONS
38. LIGHT & TRANSOMS
39. PIPES
40. FLOORS - CORNERS
41. FIXTURES
42. MIRRORS
43. STALLS
44. WINDOW SILLS
45. BASEBOARDS - DOORS
46. RAIL & LANDINGS
47. TREADS & RISERS
48. WALL SPOTTING
49. INSECT & RODENT CONTROL
CONDITION OR STATUS
50. PAPER & TRASH COLLECTION
52. CUSTODIAL EQUIPMENT
59. SAFE WORK-PRACTICES
58. LOCKER ROOMS
57. GEAR AND STORAGE ROOMS
56. FOREMAN'S WORK REPORTS & RECORDS
53. CLEANING MATERIALS & SUPPLIES
54. EMPLOYEE TRAINING & SUPERVISION
55. FOREMAN'S CLEANING SCHEDULES
51. UTILITY WORK
*When a building has no elevators or escalators, assign a rating of "5".
GSA FORM 1181 FEB 64
CLEANING
INSPECTION REPORT
REG.
BUILDING AND ADDRESS
INSPECTED BY (Name and title)
RATING
(1 thru 5)
ITEM NO.
CONDITIONS TO BE CORRECTED AND REMARKS
DATE CORRECTED AND SIGNATURE
AREA
FIELD OFFICE
DATE OF LAST REPORT
DATE OF THIS REPORT
RATING
INSTRUCTIONS
RATING SCALE
GSA Handbook of "Operation and Maintenance of Real Property" prescribes the use of this form to record on-site inspection of cleaning operations in GSA operated and in leased owner-serviced buildings.
The total "Rating" for each inspection shall be obtained by adding the rating assigned to each Service Category A thru I and to each Item 49 thru 59. Record this total "Rating" in the block so captioned. The highest possible rating is 100. When rating, take into consideration the current level of cleaning authorized for GSA operated buildings or requirements of the lease. Also consider, the elapsed time for periodic cleaning scheduled on GSA Form 1825, Periodic Building Cleaning Schedule. Under remarks identify floor or other locations inspected.
When the inspection has been completed and corrections are required, forward a copy of this report to the appropriate GSA foreman or the lessor's agent for action.
Completed actions are to be returned to the Buildings Manager and filed with the original inspection report in GSA Form 1183, Record of Building Inspection Reports.
5. Every Phase of the operation is satisfactory.
4. The standard of each operation is being metintermittently.
3. Standards are being maintained. Action required to increase quality of performance.
2. The operation is considerably below requirements and immediate action necessary to increase the quality performance.
1. The operation is inadequate.
ITEM NO.
DATE CORRECTED AND SIGNATURE
CONDITIONS TO BE CORRECTED AND REMARKS
U.S. GPO: 1975-0-210-864/42
| REGION.: |
| AREA.: |
| BUILDING AND ADDRESS.: |
| INSPECTED BY (Name and title).: |
| RATING (1 through 5). A. OUTSIDE WORK. 1. COURTS.: |
| TOTAL RATING (1 through 5). A. OUTSIDE WORK. : |
| TOTAL RATING (1 through 5). B. ENTRANCE LOBBY & CORRIDOR CLEANING.: |
| TOTAL RATING (1 through 5). I. STAIRWAY CLEANING.: |
| ITEM NUMBER. Continued from Page 1. Line 1 of 16.: |
| CONDITIONS TO BE CORRECTED AND REMARKS.: |
| RATING (1 through 5). A. OUTSIDE WORK. 2. DRIVES.: |
| RATING (1 through 5). A. OUTSIDE WORK. 3. LAWNS.: |
| RATING (1 through 5). A. OUTSIDE WORK. 4. WALKS.: |
| RATING (1 through 5). B. ENTRANCE LOBBY AND CORRIDOR CLEANING. 5. FLOORS-CORNERS.: |
| RATING (1 through 5). B. ENTRANCE LOBBY AND CORRIDOR CLEANING. 6. BASEBOARDS.: |
| RATING (1 through 5). B. ENTRANCE LOBBY AND CORRIDOR CLEANING. 7. WALL SPOTTING.: |
| RATING (1 through 5). B. ENTRANCE LOBBY AND CORRIDOR CLEANING. 8. METAL SURFACES.: |
| RATING (1 through 5). B. ENTRANCE LOBBY AND CORRIDOR CLEANING. 9. GLASS SURFACES.: |
| RATING (1 through 5). B. ENTRANCE LOBBY AND CORRIDOR CLEANING. 10. JARDINIERES & URNS.: |
| RATING (1 through 5). B. ENTRANCE LOBBY AND CORRIDOR CLEANING. 11. DRINKING FOUNTAINS.: |
| RATING (1 through 5). B. ENTRANCE LOBBY AND CORRIDOR CLEANING. 12. TELEPHONE BOOTH.: |
| RATING (1 through 5). C*. [Footnote] *When a building has no elevators or escalators, assign a rating of "5". ELEVATOR AND ESCALATOR CLEANING. 13. DOORS.: |
| RATING (1 through 5). C.* [Footnote] *When a building has no elevators or escalators, assign a rating of "5". ELEVATOR AND ESCALATOR CLEANING. 14. METAL SURFACES.: |
| RATING (1 through 5). C.* [Footnote] *When a building has no elevators or escalators, assign a rating of "5". ELEVATOR AND ESCALATOR CLEANING. 15. WALLS.: |
| RATING (1 through 5). C.* [Footnote] *When a building has no elevators or escalators, assign a rating of "5". ELEVATOR AND ESCALATOR CLEANING. 16. FLOORS AND CORNERS.: |
| RATING (1 through 5). C.* [Footnote] *When a building has no elevators or escalators, assign a rating of "5". ELEVATOR AND ESCALATOR CLEANING. 17. TREADS AND RISERS.: |
| RATING (1 through 5). D. FLOOR CARE. 18. SWEEPING.: |
| RATING (1 through 5). D. FLOOR CARE. 19. SCRUBBING.: |
| RATING (1 through 5). D. FLOOR CARE. 20. BUFFING.: |
| RATING (1 through 5). D. FLOOR CARE. 21. WAXING.: |
| RATING (1 through 5). E. ROOM CLEANING. 22. FURNITURE.: |
| RATING (1 through 5). E. ROOM CLEANING. 23. METAL SURFACES.: |
| RATING (1 through 5). E. ROOM CLEANING. 24. MIRRORS.: |
| RATING (1 through 5). E. ROOM CLEANING. 25. WALL SPOTTING.: |
| RATING (1 through 5). E. ROOM CLEANING. 26. WINDOW SILLS.: |
| RATING (1 through 5). E. ROOM CLEANING. 27. RADIATORS - GRILLES.: |
| RATING (1 through 5). E. ROOM CLEANING. 28. FLOORS.: |
| RATING (1 through 5). E. ROOM CLEANING. 29. RUGS.: |
| RATING (1 through 5). E. ROOM CLEANING. 30. BASEBOARDS - DOORS.: |
| RATING (1 through 5). E. ROOM CLEANING. 31. WASH BASINS.: |
| RATING (1 through 5). F. WINDOW CLEANING. 32. GLASS.: |
| RATING (1 through 5). F. WINDOW CLEANING. 33. SASH.: |
| RATING (1 through 5). F. WINDOW CLEANING. 34. SILLS.: |
| RATING (1 through 5). G. HIGH CLEANING. 35. BLINDS.: |
| RATING (1 through 5). G. HIGH CLEANING. 36. FILES.: |
| RATING (1 through 5). G. HIGH CLEANING. 37. GLASS PARTITIONS.: |
| RATING (1 through 5). G. HIGH CLEANING. 38. LIGHT AND TRANSOMS.: |
| RATING (1 through 5). G. HIGH CLEANING. 39. PIPES.: |
| RATING (1 through 5). H. TOILET ROOM CLEANING. 40. FLOORS - CORNERS.: |
| RATING (1 through 5). H. TOILET ROOM CLEANING. 41. FIXTURES.: |
| RATING (1 through 5). H. TOILET ROOM CLEANING. 42. MIRRORS.: |
| RATING (1 through 5). H. TOILET ROOM CLEANING. 43. STALLS.: |
| RATING (1 through 5). H. TOILET ROOM CLEANING. 44. WINDOW SILLS.: |
| RATING (1 through 5). I. STAIRWAY CLEANING. 45. BASEBOARDS - DOORS.: |
| RATING (1 through 5). I. STAIRWAY CLEANING. 46. RAIL AND LANDINGS.: |
| RATING (1 through 5). I. STAIRWAY CLEANING. 47. TREADS AND RISERS.: |
| RATING (1 through 5). I. STAIRWAY CLEANING. 48. WALL SPOTTING.: |
| RATING.: |
| CONDITION OR STATUS. 55. FOREMAN'S CLEANING SCHEDULES.: |
| FIELD OFFICE.: |
| Date of this Report. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of last Report. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date Corrected. Enter 2 digit month, 2 digit day and 4 digit year.: |
| SIGNATURE. This is a protected field.: |
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