Cleaning Sign-Off Checklist Form
Record completed cleaning tasks, note follow-up needs, and document final inspection status.
Cleaning location or area — select all that apply
*
Reception or lobby
Office or workspace
Meeting or common area
Restroom
Kitchen or break area
Other area
Cleaning date — select the applicable date range
*
Today
Yesterday
Earlier this week
Earlier this month
Other date
Assigned cleaner — select the assigned team member
*
Cleaner 1
Cleaner 2
Cleaner 3
Cleaning team
Other assigned cleaner
Completed cleaning tasks — select each task completed
*
Dusting and wiping
Vacuuming
Sweeping or mopping
Spot cleaning
Disinfection
Other completed task
Surfaces and touchpoints — select each item cleaned
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Desks and work surfaces
Door handles and push plates
Light switches and controls
Handrails and shared touchpoints
Tables and counters
Other surface or touchpoint
Floor care — select each task completed
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Vacuumed carpet or rugs
Swept hard floors
Mopped hard floors
Spot-cleaned floor marks
No floor care needed in this area
Other floor-care task
Restroom and kitchen areas — select each applicable task completed
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Restroom fixtures and sinks cleaned
Restroom mirrors and counters cleaned
Kitchen counters and sink cleaned
Kitchen appliances exterior wiped
Restroom and kitchen not applicable
Other applicable task
Waste removal and restocking — select each task completed
*
Waste bins emptied
Waste liners replaced
Restroom supplies replenished
Kitchen supplies replenished
No waste removal or restocking needed
Other task
Issues or tasks needing follow-up — select any that apply
*
No issues or follow-up tasks identified
Supplies need replenishing
Area needs additional cleaning
Maintenance issue observed
Access or equipment issue
Other follow-up needed
Final inspection/sign-off status — select the current status
*
Inspection completed; cleaning accepted
Inspection completed; follow-up required
Inspection pending
Cleaning not yet ready for inspection
Submit Checklist
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