THIS CHECKLIST IS TO BE COMPLETED ON A WEEKLY BASIS
Please check the day when each item is completed, return the completed sheet to a supervisor

Facility Name:*

VH PD PW Metra ICC CRB Parks

Week of:*

Staff:*

To be completed at Least Every 2 Hours:

Clean and disinfect all doors and door handles and hardware

M T W

TH F

Clean and disinfect all wall switches and outlets

M T W

TH F

Empty all trash in facility and replace liner, disinfect trash containers

M T W

TH F

Clean and disinfect all areas of all bathrooms; toilets, urinals, flush devices, stall partitions, floors, walls, doors, mirrors, sinks, faucets, changing stations, stainless fixtures, dispensers; fill toilet paper, fill paper towels, empty trash.

M T W

TH F

Clean and disinfect all benches, chairs, and seating areas

M T W

TH F

Clean and disinfect all tables and countertops

M T W

TH F

Clean and disinfect all drinking fountains

M T W

TH F

Check supplies and see if any are low and will need to be replenished next cleaning

M T W

TH F

To be completed at Least Every 1 Day:

Make sure all walls are clean and disinfected (dirt, mud, graffiti. spills, stains, etc…) Scrub if necessary

M T W

TH F

Make sure all floors are clean and disinfected (dirt, mud, graffiti. spills, stains, etc…) Scrub if necessary

M T W

TH F

Make sure all window glass and frames are clean, clear and disinfected

M T W

TH F

Vacuum carpets, shampoo as necessary

M T W

TH F

Clean all hvac vents

M T W

TH F

Dust all wall art and décor

M T W

TH F

Remove any bad odors

M T W

TH F

Sweep outside front entrance walkway and stairs free of debris

M T W

TH F

Make sure all lighting work correctly

M T W

TH F

Questions, Comments, Concerns: