TC 71-126 revised Jan 2023.pdf

PDF 234 KB Posted Jun 14, 2023

Attached to: Janitorial Services: Simpson Co. I-65 Rest Area & WC
Solicitation number: RFB 605 2300000801 2
Issued by: Oldham County, Kentucky

About this file

Written by GovTribe AI · Mar 11, 2026

This is a Rest Area Maintenance Inspection Report form developed by the Kentucky Transportation Cabinet's Division of Maintenance as of January 2023. The document serves as a standardized evaluation tool for assessing the condition and cleanliness of rest area facilities across Kentucky's transportation system. The inspection covers eight distinct areas: Lobby/Tourism Area (29 points possible), Women's Restroom (48 points possible), Men's Restroom (50 points possible), Family Restroom (50 points possible), Grounds Area (32 points possible), Vending Building (14 points possible), Utility Room (25 points possible), and Staff Performance (10 points possible), for a combined total of 258 possible points.

The inspection framework employs a tiered penalty system based on performance deficiencies, with specific pass/fail requirements for critical items including snow and ice removal, sharps containers, blood pathogen/first aid kits, full staffing levels, and proper uniforms. Facilities scoring 175 points or below trigger vendor complaint or show cause letters. The penalty structure escalates progressively: the first 10 percent of missed items incurs no penalty, the second 10 percent results in a 3 percent penalty, and the third 10 percent results in a 5 percent penalty, calculated per section. Each inspection area contains detailed evaluation criteria ranging from 2 to 5 points per item, covering sanitation, maintenance, safety, staffing, and operational standards. The form includes fields for location, date, time of inspection, inspector name, and supervisor identification to facilitate consistent monitoring and accountability across Kentucky's rest area network.

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A. LOBBY / TOURISM AREA

Points

Possible Points Scored

1. Water Fountains 3

2. Floors / Mats 3

3. Windows 3

4. Walls / Ceilings 3

5. Map Dispenser 3

6. Doors 3

7. Heat and RA Vents 3

8. Interior Lighting 3

9. Trash Containers 3

10. Ash Trays 2 Subtotal 29 Penalty

E. GROUNDS AREA Pts.Possible Scored

1. Snow and Ice Removal* Pass/Fail

2. Litter Pick up 3

3. Sidewalks 3

4. Flag and Flagpole 3

5. Parking Area / Curbs 3

6. Exterior Lighting 3

7. Tables / Grills / Pads 3

8. Trash Containers 3

9. Benches 3

10. Leaves 2

11. Outside Storage Area 2

12. Dog bags 2

13. Oil Spill 2

Subtotal 32 Penalty

B. WOMEN'S RESTROOM Pts. Possible Scored

1. Sharps Containers Pass/Fail

2. Commodes 5

3. Toilet Paper 5

4. Baby Changing Station 5

5. Sinks/Countertops/Faucets 3

6. Floors 3

7. Soap 3

8. Dryers 3

9. Mirrors 3

10. Exhaust Fans / Air Vents 3

11. Trash Containers 3

12. Sanitary Napkin Containers 3

13. Interior Lighting 3

14. Walls / Ceilings 2

15. Stall Partitions 2

16. Doors 2

Subtotal 48 Penalty

C. MEN'S RESTROOM Pts. Possible Scored

1. Sharps Containers Pass/Fail

2. Urinals 5

3. Commodes 5

4. Toilet Paper 5

5. Baby Changing Station 5

6. Sinks/Countertops/Faucets 3

7. Floors 3

8. Mirrors 3

9. Dryers 3

10. Soap 3

11. Exhaust Fans / Air Vents 3

12. Trash Containers 3

13. Interior Lighting 3

14. Walls / Ceilings 2

15. Stall Partitions 2

16. Doors 2

Subtotal 50 Penalty

F. VENDING BUILDING Pts. Possible Scored

1. Floors 3

2. Walls / Ceilings 3

3. Sidewalks 3

4. Lights / Emergency Lights 3

5. Signs 2

Subtotal 14 Penalty

G. UTILITY ROOM Pts. Possible Scored

1. Blood pathogen/First Aid Kit Pass/Fail

2. SDS Sheets 3

3. Trash Containers 3

4. Heat and RA Vents 3

5. Interior Lights 3

6. HVAC Filters 3

7. Storage Area / Kitchen 2

8. Floors 2

9. Windows 2

10. Walls/Ceilings 2

11. Doors/Closed 2

Subtotal 25 Penalty

Inspector:

Supervisor:

Kentucky Transportation Cabinet TC 71-126 Division of Maintenance 01/2023

REST AREA MAINTENANCE INSPECTION REPORT

Location:

Date: Time of Inspection:

D. FAMILY RESTROOM Pts. Possible Scored

1. Sharps Containers Pass/Fail

2. Urinals 5

3. Commodes 5

4. Toilet Paper 5

5. Baby Changing Station 5

6. Sinks/Countertops/Faucets 3

7. Floors 3

8. Mirrors 3

9. Dryers 3

10. Soap 3

11. Exhaust Fans / Air Vents 3

12. Trash Containers 3

13. Interior Lighting 3

14. Walls / Ceilings 2

15. Stall Partitions 2

16. Doors 2

Subtotal 50 Penalty

H. STAFF Pts. Possible Scored

1. Fully Staffed* Pass/Fail

2. Uniforms* Pass/Fail

3. Working/Not Loitering 5

4. Courteous / Respectful 3

5. PPE 2

Subtotal 10 Penalty

TOTAL PENALTY

"+" Any Score of 175 or below will have VENDOR COMPLAINT or

SHOW CAUSE LETTER

* Failure results in immediate PENALTY. Refer to Contract.

1. Water Fountains

2. Floors / Mats

3. Windows

4. Walls / Ceilings

5. Map Dispenser

6. Doors

7. Heat and RA Vents

8. Interior Lighting

9. Trash Containers

10. Ash Trays

1. Sharps Containers

10. Exhaust Fans / Air Vents

11. Trash Containers

2. Commodes

3. Toilet Paper

4. Baby Changing Station

5. Sinks/Countertops/Faucets

6. Floors

7. Soap

8. Dryers

9. Mirrors

12. Sanitary Napkin Containers

13. Interior Lighting

14. Walls / [Ceilings Comment]

15. Stall Partitions

16. Doors

1. Sharps Containers

2. Urinals

3. Commodes

4. Toilet Paper

5. Baby Changing Station

6. Sinks/Countertops/Faucets

7. Floors

8. Mirrors

Kentucky Transportation Cabinet TC 71-126 Division of Maintenance 3/2017

REST AREA MAINTENANCE INSPECTION REPORT

Location:

Date: Time of Inspection:

1st 10% missed = no penalty 2nd 10% missed = 3% penalty 3rd 10% missed = 5% penalty (Per Section) dee.mallory Highlight

8. Mirrors

9. Dryers

10. Soap

11. Exhaust Fans / Air Vents

12. Trash Containers

13. Interior Lighting

14. Walls / Ceilings

15. Stall Partitions

16. Doors

1. Sharps Containers

2. Urinals

3. Commodes

4. Toilet Paper

5. Baby Changing Station

6. Sinks/Countertops/Faucets

7. Floors

8. Mirrors

9. Dryers

10. Soap

11. Exhaust Fans / Air Vents

12. Trash Containers

13. Interior Lighting

14. Walls / Ceilings

15. Stall Partitions

16. Doors

1. Snow and Ice Removal*

2. Litter Pick Up

3. Sidewalks

4. Flag and Flagpole

5. Parking Area / Curbs

6. Exterior Lighting

7. Tables / Grills / Pads

8. Trash Containers

9. Benches

10. Leaves

11. Outside Storage Area

12. Dog Bags

1. Floors

2. Walls / Ceilings

3. Sidewalk

4. Lights / Emergency Lights

5. Signs

1. Blood pathogen Kit/ First Aid Kit*

2. SDS Sheets

3. Trash Containers

4. Heat and RA Vents

5. Interior Lights

6. HVAC Filters

7. Storage Area / Kitchen

8. Floors

13. Oil Spill

8. Floors

9. Windows

10. Walls/Ceilings

11. Doors/Closed

1. Uniforms*

2. Working/Not Loitering

3. Courteous / Respectful

4. PPE

Inspector:

Supervisor:

Rest Area Inspections

noname

File details come from the government source that posted it. Updated Mar 11, 2026.