Custodial Cleaning Report Form
Document custodial cleaning activities, tasks completed, and issues found.
Staff Full Name
*
First Name
Last Name
Date of Cleaning
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Cleaning Location
*
Shift
*
Please Select
Morning
Afternoon
Evening
Night
Tasks Completed
*
Sweeping
Mopping
Disinfecting Surfaces
Trash Removal
Restocking Supplies
Other
Supplies Used
Disinfectant
Detergent
Gloves
Trash Bags
Paper Towels
Other
Any Issues Found?
*
No Issues
Minor Issues
Major Issues
Describe Issues or Comments
Cleaning Completion Status
*
Completed
Partially Completed
Not Completed
Supervisor/Manager Name
Submit Report
Should be Empty: