A01_ATTACHMENT_A_3001_SF_ _Checklist.pdf

SERVICES TO BE PROVIDED: M T W T F TOTAL M T W T F TOTAL M T W T F TOTAL M T W T F TOTAL

1x - Year To be accomplished ONCE each year in OCT

Contractor Representative Name certifying that ALL required tasks were completed for each week (Please Print)

CLEAN LIGHT FIXTURES

HIGH DUSTING/CLEANING

RATING LEGEND:

Military Service Representative Name concurring that ALL required tasks were completed for each week (Please Print)

** No rust, encrustation or water rings shall exist RECRUITER IN CHARGE___________________________________S - Satisfactory M - Marginal

* Change waste basket liners as necessary

FORM UPDATED 09-13-2013 SIGNATURE

*** Steam clean if required to remove RECRUITER TELEPHONE__________________________________**** Damp dust IAW the PWS

I - Insufficient (Supplies)U - Unsatisfactory

TRASH REMOVAL & CHANGE LINERS *

CLEAN & DISINFECT ALL REST ROOM FIXTURES AND

FLOORS **

FURNISH RESTROOM SUPPLIES

VACUUM ALL FLOORS & UPHOLSTERED FURNITURE

DAMP MOP ALL HARD SURFACE FLOORS

CLEAN AND DISINFECT WATER FOUNTAIN, AND WIPE

DRY

SPOT CLEAN ENTRANCE DOOR & INTERIOR GLASS

TO REMOVE FINGERPRINTS & SMEARS

SCAN & EMAIL Checklist at end of each month to the following POCs: JANITORIAL SERVICES CHECKLIST FOR FACILITIES 3000+ SF COE POC, Phone Number, and assigned territory Address___________________________

Recruiting Station ID:______________

MONTH/YEAR__________________

CALENDAR

DATES:

FREQUENCY

REQUIRED

CLEAN GLASS SURFACES (EXT & INT) INSIDE & OUT

DE-SCALE TOILET BOWLS & URINALS

SPOT CLEAN CARPETS

WASH ALL TRASH RECEPTACLES

DAMP DUST ALL SURFACES**** 1x - Month

As Required

3X - Week

NOTATE "RATING" AND ANY COMMENTS

ON THE QUALITY OF THE WORK BELOW.

To be accomplished on the first week of the Month