Audit Form

Cleaning Services Site Report

A

Site: Date of Audit: Carried Out By:

Postcode: Building Type: Time of Next Clean:

Time of Audit: No of Hours Allocated to Site:

No of Staff Present:

Criteria Staff Issues

(Yes/No) Audit Commentary

Do staff respond to issues raised locally, verbal/comms log? Do the cleaning staff use appropriate signage when cleaning & is the signage clean? Do the staff adhere to the agreed security procedures? Is the attendance record current and filled in correctly?

Materials / Equipment Is the correct equipment and material in place to meet the output specification? Are all pieces of equipment in good repair? Do the cleaning staff store their materials and equipment appropriately? Is the cleaners cupboard/sluce area kept clean & tidy?

Health and Safety Are the dilution rates, colour coding, risk assessments, COSHH and SSOW current and available?

Have all items of electrical equipment been tested and are they within the test period?

Customer Service Issues Do staff have appropriate workwear? Do the staff exhibit appropriate behaviour?

Contract Are staff working to their new output schedules?

Housekeeping Is staff training up to date? Are there any housekeeping issues which need to be addressed?

Action Required? (Yes/No)

Issue 5 March 2004

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Rom 04.4/10 Part 1

Cleaning Standards Audit Report Criteria

Points

Audit Commentary

Operational Area Hard Floors (out of 3) Soft Floors (out of 3) Fixtures and Fittings (out of 3) Vertical Surfaces (out of 3) Bins and Ashtrays (out of 3)

Offices Hard Floors (out of 4) Soft Floors (out of 4) Fixtures and Fittings (out of 4) Vertical Surfaces (out of 4) Bins and Ashtrays (out of 3)

Common areas and customer facing Hard Floors (out of 4) Soft Floors (out of 4) Fixtures and Fittings (out of 4) Vertical Surfaces (out of 4) Bins and Ashtrays (out of 4)

Hygiene - toilets Hard Floors (out of 4) Soft Floors (out of 4) Fixtures and Fittings (out of 4) Vertical Surfaces (out of 4) Bins and Ashtrays (out of 3) Hygiene Fittings (out of 4) Consumables (out of 5)

Hygiene - catering areas and welfare areas excluding toilets Hard Floors (out of 4) Soft Floors (out of 4) Fixtures and Fittings (out of 4) Vertical Surfaces (out of 4) Bins and Ashtrays (out of 3) Hygiene Fittings (out of 4) Consumables (out of 5)

External areas and low use Hard Floors (out of 3) Soft Floors (out of 3) Fixtures and Fittings (out of 3) Vertical Surfaces (out of 3) Bins and Ashtrays (out of 3) External Areas - Litter and Leaves (out of 3)

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Penalty Points Action Plan Required? (Yes/No) Action Plan Required By Action Plan Completed By Issue 5 March 2004

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Rom 04.4/10 Part 1

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Cleaning Performance Improvement Action Plan Action Plan For: Compiled By: Date:

General Info:

Description of Issue

Agreed Corrective / Preventative Action

Agreed By (Auditor):

Issue 3 TRIAL January 2004

Who Will Action

Agreed Date of Completion

Actual Date of Completion

Date:

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Rom 04.4/10 Part 2

Issue 3 TRIAL January 2004

Agreed By (Client Rep):

Date:

Action Plan Completed (Supervisor):

Date:

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Rom 04.4/10 Part 2

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Cleaning Service Site Audit Definitions

Hard Floors

Soft floors

F&F

Vertical surfaces

Bins and ashtrays

Hygiene fittings

Consumables

Issue 3 TRIAL January 2004

1

2

3

4

Dominant amounts of dust, debris, removable stains, smears and accumulated deposits. Dominant amount of floors do not present a uniform finish consistent with age and wear, with an even lustre if appropriate, without scuff marks. Large proportion of floors do not meet non-slip standards. Unacceptable

Significant amounts of dust, debris, removable stains, smears and accumulated deposits. Significant amount of floors do not present a uniform finish consistent with age and wear, with an even lustre if appropriate, without scuff marks. Some floors do not meet non-slip standards.

Limited amounts of dust, debris, removable stains, smears and accumulated deposits. All floors except a limited % present a uniform finish consistent with age and wear, with an even lustre if appropriate, without scuff marks. All floors meet non-slip standards.

Insignificant. Very small amounts of dust, debris, removable stains, smears and accumulated deposits. All floors except a small % present a uniform finish consistent with age and wear, with an even lustre if appropriate, without scuff marks and all floors meet non-slip standards.

Dominant amounts of dust, debris, Significant amounts of dust, debris, Limited amounts of dust, debris, removable stains, smears and accumulated removable stains, smears and accumulated removable stains, smears and deposits. Unacceptable deposits. accumulated deposits.

Insignificant. Very small amounts of dust, debris, removable stains, smears and accumulated deposits.

Dominant amount of dust or dirt detectable. Dominant amount of fixtures not free from finger marks or polished accordingly. Dominant amount of telephones not sanitised.

Significant amount of dust or dirt detectable. Significant amount of fixtures not free from finger marks or polished accordingly. Significant amount of telephones not sanitised.

Limited amount of dust or dirt detectable. Limited amount of fixtures not free from finger marks or polished accordingly. Limited amount of telephones not sanitised.

Insignificant amount of dust or dirt detectable. Insignificant amount of fixtures not free from finger marks or polished accordingly. Insignificant amount of telephones not sanitised.

Dominant amounts of dust, debris, removable stains, smears and accumulated deposits. No impression of cleanliness. Unacceptable

Significant amounts of dust, debris, removable stains, smears and accumulated deposits. Several items in evidence or detectable. Diminishes the impression of cleanliness

Limited amounts of dust, debris, removable stains, smears and accumulated deposits in evidence or detectable. Level is not yet critical, but can be depending on size and position. Detracts some from the general impression of cleanliness.

Insignificant. Very small amounts of dust, debris, removable stains, smears and accumulated deposits. Very small amounts vaguely in evidence. Does not detract from the general impression of cleanliness.

Dominant. More than 15% of bins overflowing and ashtrays not emptied and bins not lined correctly. No impression of cleanliness. Unacceptable.

Significant. Between 5 and 15% of bins overflowing and ashtrays not emptied and bins not lined correctly. Diminishes the impression of cleanliness.

Limited amount. Less than 5% of bins Insignificant. Less than 2% of bins overflowing and ashtrays not emptied and overflowing and ashtrays not emptied and bins not lined correctly. bins not lined correctly. Does not detract from the general impression of cleanliness.

Dominant amount of WC's pans, seats urinals and hand basins with traces of scrum, grime, waste matter, tide marks, build up of cleaning agent or mineral deposits.

Significant amount of WC's pans, seats urinals and hand basins with traces of scrum, grime, waste matter, tide marks, build up of cleaning agent or mineral deposits.

Limited amounts of WC's pans, seats urinals and hand basins with traces of scrum, grime, waste matter, tide marks, build up of cleaning agent or mineral deposits.

Insignificant. Some WC's pans, seats urinals and hand basins with traces of scrum, grime, waste matter, tide marks, build up of cleaning agent or mineral deposits.

More than 10% of containers empty.

Between 5 and 10% of containers empty.

Between 3 and 5% of containers empty.

Maximum of 2% of containers empty.

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Rom 04.4/10 Part 3

External areas – Litter and leaves

Issue 3 TRIAL January 2004

Dominant amount of litter and leaves detectable.

Significant amount of litter and leaves detectable.

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Limited amount of litter and leaves detectable.

Insignificant amount of litter and leaves detectable.

Rom 04.4/10 Part 3

5 Nothing. No dust, debris, removable stains, smears and accumulated deposits. Floors present a uniform finish consistent with age and wear, with an even lustre if appropriate, without scuff marks and meet non-slip standards.

Nothing. No dust, debris, removable stains, smears and accumulated deposits. Nothing - No amount of dust or dirt detectable, all fixtures free from finger marks and polished accordingly. Telephones are sanitised.

Nothing. No dust, debris, removable stains, smears and accumulated deposits items are in evidence or detectable. Immaculately clean.

All items are emptied and clean.

All WC's pans, seats urinals and hand basins free of scrum, grime, waste matter, tide marks, build up of cleaning agent or mineral deposits.

100% of soap, towels and toilet rolls containers properly stocked.

Issue 3 TRIAL January 2004

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Rom 04.4/10 Part 3

Free of all litter and free of all but insignificant amount of leaves.

Issue 3 TRIAL January 2004

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Rom 04.4/10 Part 3