Office Cleanliness Observation Log Form
Log your office cleanliness observations to help maintain a clean, healthy, and productive workspace. Please complete all fields accurately.
Observer Name
*
First Name
Last Name
Date of Observation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Observation
*
Hour Minutes
AM
PM
AM/PM Option
Office Area Inspected
*
Please Select
Lobby
Open Workspace
Conference Room
Break Room
Restroom
Private Office
Storage Area
Other
Areas/Items Checked
*
Floors
Desks & Tables
Trash Bins
Restroom Fixtures
Windows & Glass
Door Handles
Kitchen Appliances
Other
Overall Cleanliness Rating
*
1
2
3
4
5
Describe Any Issues Observed
Actions Taken or Recommended
Upload Photo (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Is Follow-up Required?
*
Yes
No
Submit Observation
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