Inspection Form

INSPECTION FORM

Please provide the following contact information:

Cleaning Date: mm/dd/yy

Contact Name Title

Organization Phone

Inspected By:

Building: Floor:

ENTRANCE:

Mat / Carpet

Glass / Metal Surfaces:

Corners:

Floor:

Poor
Fair
Good
Excellent

LOBBIES:

Dusting:

Floor Appearances:

Sweeping / Vacuuming:

Spot Cleaning:

Poor
Fair
Good
Excellent

Fixtures:

Water Fountain:

Poor
Fair
Good
Excellent

OFFICE AREAS:

Furniture:

Door kick Plates:

Phones / Lamps:

Partitions:

Poor
Fair
Good
Excellent

Low Dusting:

High Office:

Floor Appearances:

Sweeping / Vacuuming:

Poor
Fair
Good
Excellent

Base Boards:

Corners:

Walls / Doors / Spot Cleaning:

Poor
Fair
Good
Excellent

WINDOWS:

Glass:

Sills / Frames:

Blinds:

Poor
Fair
Good
Excellent

ELEVATORS:

Treads:

Lights:

Walls / Doors:

Floor / Carpets:

Poor
Fair
Good
Excellent

EXTERIOR & GROUNDS:

Policing:

Sidewalks:

Entrance Areas:

Stairwell:

Poor
Fair
Good
Excellent

Lawn Area:

Parking Area:

Trash Cans:

Poor
Fair
Good
Excellent

CORRIDORS:

Sweeping / Vacuuming:

Floor Appearances:

Baseboards:

Spot Cleaning:

Poor
Fair
Good
Excellent

Water Fountain:

Poor
Fair
Good
Excellent

JANITOR CLOSETS:

Cleanliness / Organization:

Supplies / Equipment:

Poor
Fair
Good
Excellent

STAIR WELLS:

Rails / Walls:

Steps:

Poor
Fair
Good
Excellent

MISCELLANEOUS:

Air Vents:

Exit Lights:

Carpet Spotting:

Cafeteria:

Poor
Fair
Good
Excellent

Storage Area:

Poor
Fair
Good
Excellent

REST ROOMS:

Dispensers / Hardware:

Stains:

Floors:

Mirrors:

Poor
Fair
Good
Excellent

Partitions:

Toilets / Urinals:

Waste Cans:

Walls / Doors:

Poor
Fair
Good
Excellent

COMMENTS: