To be completed when all chores and responsibilities are complete. NO LATER than completion of your duty shift.
Which station?
*
Station 1
Station 2
Station 3
Station 4
Door County
Day of the week of completed shift
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Day of the week
Date of completed shift
*
.
Month
.
Day
Year
Date Picker Icon
Off Going Crew Names
*
Oncoming Crew Names
All pagers given to oncoming crew and in working condition.
*
No **IR completed on FACILITY DUDE**
Yes
***Please make sure the Supervisor is aware of PAGER problems too!!!
Cell phone given to oncoming crew and in working condition.
*
No **IR completed on FACILITY DUDE**
Yes
***Please make sure the Supervisor is aware of CELLPHONE problems too!!!
Station or Equipment IR's completed
List all station or equipment failures
Was the daily narc sheet completed, signed, and sent
*
Yes
No
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Chores
***Remember just because it may not be station cleaning day....you should ALWAYS clean if things look bad!***
Station Cleaning (TO BE DONE EVERYDAY)
*
Done
Not Done
Other
Garbages emptied and taken to the dumpster
Recycling emptied and taken to the dumpster
Sweep & mop all solid surfaces
Vacuum all carpeted areas & rugs
All countertops, desktops, etc. wiped down
Kitchen cleaned
Dishwasher was ran and emptied (as needed)
Laundry and rags washed (as needed)
Station 1 Chores
Done
Not Done
Other
Fill snack and soda machines
Fill outlying station supply orders
Email Terri if any copies are needed
Order Linen
Collect and drop off medical waste and sharps
Pickup linen
Order oxygen
Empty vacuum
Wash mop heads
Clean the dorm room
Clean and detail the basement
Clean and organize the office
Clean the kitchen
Clean garage floor and gutter
Clean the locker rooms and showers
Clean the lounge
Station 2 Chores
Done
Not Done
Other
Station supply inventory and ordering
Email Terri if any copies are needed
Linen Exchange
Collect and drop off medical waste and sharps
Order oxygen
Empty vacuum
Wash mop heads
Clean the dorm room
Clean and organize the office
Take garbage and recycling (biweekly) bins to the curb
Clean the kitchen
Clean garage floor and gutter
Bring in garbage and recycling bins
Clean the locker rooms and showers
Clean the lounge
Station 3 Chores
Done
Not Done
Other
Station supply inventory and ordering
Email Terri if any copies are needed
Linen Exchange
Collect and drop off medical waste and sharps
Take the recycling (biweekly) bins to the curb
Order oxygen
Empty vacuum
Wash mop heads
Clean the dorm room
Bring in the recycling bins
Clean and organize the office
Clean the weight room
Clean the garage bathroom
Clean the classroom
Cut the grass (when applicable)
Clean the kitchen
Clean garage floor and gutter
Take the garbage bins to the curb
Bring in the garbage bins
Clean the locker rooms and showers
Clean the lounge
Station 4 Chores
Done
Not Done
Other
Station supply inventory and ordering
Email Terri if any copies are needed
Linen Exchange
Collect and drop off medical waste and sharps
Order oxygen
Empty vacuum
Wash mop heads
Clean the dorm room
Clean and organize the office
Take garbage and recycling (biweekly) bins to the curb
Clean the kitchen
Clean garage floor and gutter
Bring in garbage and recycling bins
Clean the locker rooms and showers
Clean the lounge
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Trucks
Please fill in all trucks at your station
Trucks present at station
*
Vehicle Failures
List all vehicle failures
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Any additional comments:
Crew Member Signature
*
Printed Name
*
Submit and send to Supervisors
Should be Empty: