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Custodial Services

Custodial Service

The Name, E-mail, Department, and Date entries at the bottom
are required for submission

Please answer Yes or No. If 'no', indicate location(s) in comments section.

DAILY TASKS

Regarding restrooms, showers and locker rooms in your area:

Are bathroom fixtures and glass cleaned?	Yes No N/A
Are floors, counters and walls cleaned?	Yes No N/A
Are shower walls and floors cleaned?	Yes No N/A
Are supplies replenished?	Yes No N/A

Additional Comments:

Regarding offices, classrooms, conference rooms, auditoriums,
lectures halls and labs in your area:

Are the trash receptacles emptied?	Yes No N/A
Is the carpeting vacuumed?	Yes No N/A
Are furnishings dusted?	Yes No N/A
Are the floors cleaned?	Yes No N/A
Are the doors and telephones cleaned?	Yes No N/A
Are the water fountains cleaned?	Yes No N/A
Are the floor mats cleaned?	Yes No N/A
Are the chalkboards cleaned?	Yes No N/A

Additional Comments:

Regarding entranceways, hallways, and stairways in your area:

Are floors, including elevators vacuumed or mopped?

Yes No N/A

Additional Comments:

WEEKLY TASKS

Are interior doors, including glass, cleaned?	Yes No N/A
Are stairs swept?	Yes No N/A
Are handrails, banisters, and posts cleaned?	Yes No N/A
Are office floors mopped?	Yes No N/A

Additional Comments:

SEMI ANNUAL TASKS

Are window blinds cleaned?

Yes No N/A

AS NEEDED TASKS

Are trash recepticles cleaned and relined?	Yes No N/A
Are separate recycling bins available?	Yes No N/A
Is the carpeting spot-cleaned?	Yes No N/A
Are the walls spot-cleaned?	Yes No N/A

Comment on the security in your area as it related to custodians turning
off lights and locking doors after servicing facility:

Other comments:

Thank you for your cooperation!