Restroom Cleaning Schedule Form
Use this form to track restroom cleaning tasks and completion. Please complete each item to ensure a clean and well-maintained facility.
Date of Cleaning
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Cleaning
*
Hour Minutes
AM
PM
AM/PM Option
Name of Cleaner
*
First Name
Last Name
Restroom Location
*
Checklist of Cleaning Tasks
*
Empty trash bins
Clean and disinfect sinks
Clean and disinfect toilets/urinals
Wipe mirrors
Restock soap and paper products
Sweep and mop floor
Clean door handles and light switches
Were all tasks completed?
*
Yes
No
If not, please specify which tasks were not completed and why
Additional Notes or Comments
Submit Cleaning Record
Should be Empty: