Cleaner Shift Log Form
Record your shift details and completed cleaning tasks accurately for each work period.
Cleaner’s Full Name
*
First Name
Last Name
Date of Shift
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Shift Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Shift End Time
*
Hour Minutes
AM
PM
AM/PM Option
Area or Zone Cleaned
*
Please Select
Lobby
Restrooms
Offices
Hallways
Stairwells
Other
Tasks Completed
*
Sweeping/Mopping
Trash Removal
Restocking Supplies
Surface Disinfection
Window Cleaning
Other
Supplies Used
Detergent
Disinfectant
Trash Bags
Paper Towels
Gloves
Other
Equipment Issues or Malfunctions
Additional Comments or Notes
Supervisor’s Name
Signature (Type your name to confirm accuracy)
*
Submit Shift Log
Should be Empty: