Inspection Report: DDD Inspection Report: DDD Step 1 of 26 3% IntroductionInfo on the form/InstructionPassword(Required) What building(s) are you inspecting?(Required) A B D E Building ABuilding A(Required)PoorFairGoodExcellentFloors swept / dust moppedFloors moppedDoor handles / light switches disinfectedSweep doormatsDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Kitchen/ Water Fountains (Building A)Kitchen/ Water Fountains (Building A)(Required)PoorFairGoodExcellentCounters cleaned (under and around appliances)Sink and faucet cleaned and wiped dryTrash cans emptied and wiped downRefrigerator / microwave / toaster handles disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Men's Bathroom (Building A)Men's Bathroom (Building A)(Required)PoorFairGoodExcellentToilets / urinals cleaned and disinfectedSinks / counters cleaned and disinfectedMirrors cleanedFloors swept and moppedPaper and soap stockedTrash cans emptied and wiped downDoor handles / light switches disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Women's Bathroom (Building A)Women's Bathroom (Building A)(Required)PoorFairGoodExcellentToilets cleaned and disinfectedSinks / counters cleaned and disinfectedMirrors cleanedFloors swept and moppedPaper and soap stockedTrash cans emptied and wiped downDoor handles / light switches disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Conference Room (Building A)Conference Room (Building A)(Required)PoorFairGoodExcellentFloors swept and moppedPaper and soap stockedTrash cans emptied and wiped downDoor handles / light switches disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Summary (Building A)Quality Control Inspector Notes(Required)Date(Required) MM slash DD slash YYYY Time(Required) Hours : Minutes AM PM AM/PM Signature(Required) Building BBuilding B(Required)PoorFairGoodExcellentFloors swept / dust moppedFloors moppedDoor handles / light switches disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Kitchen/ Water Fountains (Building B)Kitchen/ Water Fountains (Building B)(Required)PoorFairGoodExcellentCounters cleaned (under and around appliances)Sink and faucet cleaned and wiped dryTrash cans emptied and wiped downRefrigerator / microwave / toaster handles disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Men's Bathroom (Building B)Men's Bathroom (Building B)(Required)PoorFairGoodExcellentToilets / urinals cleaned and disinfectedSinks / counters cleaned and disinfectedMirrors cleanedFloors swept and moppedPaper and soap stockedTrash cans emptied and wiped downDoor handles / light switches disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Women's Bathroom (Building B)Women's Bathroom (Building B)(Required)PoorFairGoodExcellentToilets cleaned and disinfectedSinks / counters cleaned and disinfectedMirrors cleanedFloors swept and moppedPaper and soap stockedTrash cans emptied and wiped downDoor handles / light switches disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Conference Room (Building B)Conference Room (Building B)(Required)PoorFairGoodExcellentFloors swept and moppedPaper and soap stockedTrash cans emptied and wiped downDoor handles / light switches disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Summary (Building B)Quality Control Inspector Notes(Required)Date(Required) MM slash DD slash YYYY Time(Required) Hours : Minutes AM PM AM/PM Signature(Required) Building DBuilding D(Required)PoorFairGoodExcellentFloors swept / dust moppedFloors moppedDoor handles / light switches disinfectedSweep doormatsDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Kitchen/ Water Fountains (Building D)Kitchen/ Water Fountains (Building D)(Required)PoorFairGoodExcellentCounters cleaned (under and around appliances)Sink and faucet cleaned and wiped dryTrash cans emptied and wiped downRefrigerator / microwave / toaster handles disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Men's Bathroom (Building D)Men's Bathroom (Building D)(Required)PoorFairGoodExcellentToilets / urinals cleaned and disinfectedSinks / counters cleaned and disinfectedMirrors cleanedFloors swept and moppedPaper and soap stockedTrash cans emptied and wiped downDoor handles / light switches disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Women's Bathroom (Building D)Women's Bathroom (Building D)(Required)PoorFairGoodExcellentToilets cleaned and disinfectedSinks / counters cleaned and disinfectedMirrors cleanedFloors swept and moppedPaper and soap stockedTrash cans emptied and wiped downDoor handles / light switches disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Conference Room (Building D)Conference Room (Building D)(Required)PoorFairGoodExcellentFloors swept and moppedTrash cans emptied and wiped downDoor handles / light switches disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Summary (Building D)Quality Control Inspector Notes(Required)Date(Required) MM slash DD slash YYYY Time(Required) Hours : Minutes AM PM AM/PM Signature Building EBuilding E(Required)PoorFairGoodExcellentFloors swept / dust moppedFloors moppedDoor handles / light switches disinfectedSweep doormatsDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Kitchen/ Water Fountains (Building E)Kitchen/ Water Fountains (Building E)(Required)PoorFairGoodExcellentCounters cleaned (under and around appliances)Sink and faucet cleaned and wiped dryTrash cans emptied and wiped downRefrigerator / microwave / toaster handles disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Men's Bathroom (Building E)Men's Bathroom (Building E)(Required)PoorFairGoodExcellentToilets / urinals cleaned and disinfectedSinks / counters cleaned and disinfectedMirrors cleanedFloors swept and moppedPaper and soap stockedTrash cans emptied and wiped downDoor handles / light switches disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Women's Bathroom (Building E)Women's Bathroom (Building E)(Required)PoorFairGoodExcellentToilets cleaned and disinfectedSinks / counters cleaned and disinfectedMirrors cleanedFloors swept and moppedPaper and soap stockedTrash cans emptied and wiped downDoor handles / light switches disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Conference Room (Building E)Conference Room (Building E)(Required)PoorFairGoodExcellentFloors swept and moppedPaper and soap stockedTrash cans emptied and wiped downDoor handles / light switches disinfectedDeficiencies, Corrective Actions, Inspector Notes(Required)Post ImageAccepted file types: jpg, jpeg, png, gif. Summary (Building E)Quality Control Inspector Notes(Required)Date(Required) MM slash DD slash YYYY Time(Required) Hours : Minutes AM PM AM/PM Signature(Required) Δ Skip back to main navigation
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