Cleaning Audit and Report
1.
2.
3.
4.
5.
6.
Record at the top of the form the areas inspected.
Mark S for Satisfactory and U for Unsatisfactory.
If unsatisfactory, document what needs to be done.
Use another piece of paper if you need to and staple it to this form.
Make sure the actions are completed and document the outcomes.
Compare the results with the last audit done.
Location/s (area/s audited):
Rhys Patter 99 Delaney St.
(Bathroom. Toilet. Bedroom, Laundry)
(ie room numbers, house)
Date inspection Completed: NB: Inspection commenced but not completed
Completed by (Name and Position) Kim Flynn
S
Clients Home
General Areas
Floors clean, vacummed &
mopped.
Walls clean
Benches, shelves clean,
free of dust
Areas free of clutter
TV Clean and dust free
No offensive odours
Windows clean
Furniture clean
Free from cobwebs
Clients Bathroom/Toilet
Floors clean and scrubbed
Walls clean
Hand basin/taps/mirrors
clean
Shower recess/bath clean
Toilet bowl clean
Bin emptied
Laundry
All chemicals are clearly
labelled
Floors clean and scrubbed
Area is neat and tidy
Document Name:
U
Comments/Action
required
© J.N.Bailey Pty Ltd 2009
Date
Outcome and
date completed
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
265333690
Document No:
By
Whom
Created Date:
Version No:
V1
Last Modified Date:
Page Sequence:
22-Feb-09
14-Jul-17
Page 1 of 3
S
U
Comments/Action
required
All equipment is in a clean
condition, ie washing
machine, dryer free of lint.
S
Generic Room (Please specify)
Floor clean
Ceiling and walls clean
Hand basin/taps clean
Benches tidy, dust free
Eg Spare room, Patio.
S
S
S
S
Bedrooms
Floor clean
Walls clean
Bedside tables/dresser tidy,
dust free
Shelves dust free
Under bed clean
Mirror surfaces clean
Ensuites
Floors clean and scrubbed
Hand basin/taps/mirrors
clean
Shower heads clean
Soap available
Ceilings and walls clean
Toilet bowl clean
Tiles screens are clean
Bin emptied
Additional Questions
Has the cleaning schedule
been developed for this
specific area?
Has the cleaning frequency
schedule been signed off as
required?
Are copies of these held on
file
Is the cleaning schedule
being followed?
Is the cleaning schedule up
to date and practical?
Is the chemical stocktake
being completed as
Document Name:
© J.N.Bailey Pty Ltd 2009
Date
Outcome and
date completed
S
S
S
S
S
S
X
X
X
X
X
X
X
X
S
S
S
S
S
S
265333690
Document No:
By
Whom
Created Date:
Version No:
V1
Last Modified Date:
Page Sequence:
22-Feb-09
14-Jul-17
Page 2 of 3
S
U
Comments/Action
required
By
Whom
Date
Outcome and
date completed
required?
Document Name:
265333690
Document No:
© J.N.Bailey Pty Ltd 2009
Created Date:
Version No:
V1
Last Modified Date:
Page Sequence:
22-Feb-09
14-Jul-17
Page 3 of 3