Cleaning Audit and Report

1. Record at the top of the form the areas inspected.

2. Mark S for Satisfactory and U for Unsatisfactory.
3. If unsatisfactory, document what needs to be done.
4. Use another piece of paper if you need to and staple it to this form.
5. Make sure the actions are completed and document the outcomes.
6. 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

Comments/Action By Outcome and
S U Date
required Whom date completed
Clients Home
General Areas
Floors clean, vacummed &
mopped.
Walls clean S
Benches, shelves clean, S
free of dust
Areas free of clutter S
TV Clean and dust free S
No offensive odours
Windows clean S
Furniture clean S
Free from cobwebs S

Clients Bathroom/Toilet
Floors clean and scrubbed S
Walls clean S
Hand basin/taps/mirrors S
clean
Shower recess/bath clean S
Toilet bowl clean S
Bin emptied S

Laundry
All chemicals are clearly S
labelled
Floors clean and scrubbed S
Area is neat and tidy S
All equipment is in a clean S
Document Name: 381643947.doc Created Date: 22-Feb-09
Document No: Version No: V1 Last Modified Date: 15-Mar-18
© J.N.Bailey Pty Ltd 2009 Page Sequence: Page 1 of 4
 Comments/Action By Outcome and
S U Date
required Whom date completed
condition, ie washing
machine, dryer free of lint.

Generic Room (Please specify) Eg Spare room, Patio.

Floor clean S
Ceiling and walls clean S
Hand basin/taps clean S
Benches tidy, dust free S

Bedrooms
Floor clean S
Walls clean S
Bedside tables/dresser tidy, S
dust free
Shelves dust free S
Under bed clean S
Mirror surfaces clean S

Ensuites
Floors clean and scrubbed X
Hand basin/taps/mirrors X
clean
Shower heads clean X
Soap available X
Ceilings and walls clean X
Toilet bowl clean X
Tiles screens are clean X
Bin emptied X

Additional Questions
Has the cleaning schedule S
been developed for this
specific area?
Has the cleaning frequency S
schedule been signed off as
required?
Are copies of these held on S
file
Is the cleaning schedule S
being followed?
Is the cleaning schedule up S
to date and practical?
Is the chemical stocktake S
being completed as
Document Name: 381643947.doc Created Date: 22-Feb-09
Document No: Version No: V1 Last Modified Date: 15-Mar-18
© J.N.Bailey Pty Ltd 2009 Page Sequence: Page 2 of 4
 Comments/Action By Outcome and
S U Date
required Whom date completed
required?

Document Name: 381643947.doc Created Date: 22-Feb-09

Document No: Version No: V1 Last Modified Date: 15-Mar-18
© J.N.Bailey Pty Ltd 2009 Page Sequence: Page 3 of 4
 CM3 Attachment 2
Annual Cleaning Audit and Report

Document Name: 381643947.doc Created Date: 22-Feb-09

Document No: Version No: V1 Last Modified Date: 15-Mar-18
© J.N.Bailey Pty Ltd 2009 Page Sequence: Page 4 of 4