Evaluation Form - Peoria, AZ

Peoria Facility Evaluation
Detected Location
Date*

MonthDayYear
DateHourMinutesAM/PM Option
Facility Manager's Name

First NameLast Name
Facility Evaluator's Name

First NameLast Name
Your Email Address*
example@example.com
Tunnel
Scoring Guide

1 = Unacceptable | 2 = Poor | 3 = Acceptable | 4 = Very Good | 5 = Exceptional
Timing & Chemical Applications
Arches Clean
Brushes and Cloth Clean
Walls & Windows
Floors
Dryer Performance
Notes - Tunnel
AVG - Tunnel

Outside Areas
Trash Cans
Microfiber Towels
Parking Lot
Outside Windows
Pay Stations Area
Signage
Landscaping
Surrounding Areas
Building Walls & Doors
Vending Machines
Vacuums Clog Free
All Vacuum Equipment Clean
Floor Mat Cleaning Machine
Bug Prep
Notes - Outside Areas
AVG - Outside Areas

Front Kiosk / Lobby / Office
Inside Windows
Floors
Organization
Membership Forms
Trash Cans
Work Schedule Complete & Displayed
Daily Task List Complete
Communication Board
Compliance Posters
Bathrooms
Safe Audit

YesNo
Notes - Front Kiosk / Lobby / Office
AVG - Front Kiosk / Lobby / Office

Equipment Room & Storage
Clean & Organized
Equipment in Working Order
Vacuum Pumps Clean & Maintained
Chemical Inventory Levels OK
All Cleaning Supplies Stocked
Notes - Equipment Room & Storage
AVG - Equip Room & Storage

Safety
Eye Cleaning Stations
Lock Out Tag Out System
OSHA Incident Forms
First Aid Kit
Safety Glasses
Notes - Safety
AVG - Safety

Team Performance & Appearance
Team is Working "Zones"
Radios: Use and Condition
Loader Performance
Uniforms Per Policy
Overall Employee Appearance Per Policy
Staffed Appropriately
"Fast & Friendly" Customer Service
Notes - Team Performance & Appearance
AVG - Team Perf & Appearance
AVG - OVERALL AVERAGE
Should be Empty: