Quality Inspection Form
First Audit
Site Name for Audit
*
Auditor
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Please Select
Customer
Manager
Supervisor
Auditor Name
*
First Name
Last Name
Contact E-mail
*
Phone Number
*
-
Area Code
Phone Number
Time:
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12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
until
until
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12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Date
*
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Month
-
Day
Year
Date Picker Icon
10 Not Done 9-8 Very Poor 7-6 Poor 5-4 Not Satisfactory 3-2 Satisfactory 1 Good 0 Very Good
Score of 10 to 4 Must be Corrected Immediately. If total score is less than 0.20 job is satisfactory and if it is between 0.20 to 0.30 Not Satisfactory and over 0.30 is very poor
*** CHECK BOXES MUST BE SELECTED PER AUDIT STYLE ***
Audit Level 0 Very Good 10 Very Bad
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( X )
Selection 1: Cleaner Room / Staff
1.00
House Keeping
-
Filthy Storage
Dirty Storage
Empty Drums
Chemical NOT Stored
All
Equipment
-
Dirty & Dusty
Require Maintenance
No ID Tags
Out Date Test & Tag
All
Chemicals
-
Un Labelled
Missing MSDS
Incorrect Handling
All
Other
-
Not have ID Badges
Bad Presentation
Not Ware Uniforms
All
Staff
-
Not Trained
Not Aware of MSDS
No Understand Cleaning
All
Score
Item subtotal:
0.00
Selection 2:Dusting
1.00
Low
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Mid
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
High
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Type
-
Furniture
Frame
Desk
Kitchen Cabinet
Ledges of Wall
Table
Frame
Level
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Issue
-
Explained on Job
Need Training
Warning Given
Score
0
1
2
3
4
5
6
7
8
9
10
Selection 3: Floor Mopping
1.00
Moping
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Marks-Gum-Tape
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Edges
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Type
-
Very Good
Good
Can Get Better
Medium
Bad
Very Bad
Can't Accept Quality
Issue
-
Explained on Job
Need Training
Warning Given
Cleaner
-
Issued Fixed
Understood Issue
Not Sure
Need to be Check
Score
0
1
2
3
4
5
6
7
8
9
10
Selection 4: Floor Vacuuming
1.00
Type
-
Corner
Entrance area
Matts
Missing Places
Stain on Carpet
Sticky Tapes
Level
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Type
-
Corner
Entrance area
Matts
Missing Places
Stain on Carpet
Sticky Tapes
Level
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Issue
-
Explained on Job
Need Training
Warning Given
Cleaner
-
Issued Fixed
Understood Issue
Not Sure
Need to be Check
Score
0
1
2
3
4
5
6
7
8
9
10
Selection 5: Ceiling
1.00
Lights
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Fans
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Dusting
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Type
-
Neglected
Not Applicable
Never Done
Some area Missed
Very Poor
Issue
-
Explained on Job
Need Training
Warning Given
Cleaner
-
Issued Fixed
Understood Issue
Not Sure
Need to be Check
Score
0
1
2
3
4
5
6
7
8
9
10
Selection 6: Kitchen
1.00
Bench-Table
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Cabinet-Sink
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Microwave-Refrigerator
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Type
-
Neglected
Not Applicable
Never Done
Some area Missed
Very Poor
Issue
-
Explained on Job
Need Training
Warning Given
Cleaner
-
Issued Fixed
Understood Issue
Not Sure
Need to be Check
Score
0
1
2
3
4
5
6
7
8
9
10
Selection 7: Rubbish Bin
1.00
Type
-
Neglected
Not Applicable
Never Done
Some area Missed
Very Poor
Reason
-
Not Emptied
Missing
Bin are Dirty
Bags Not Changed
All
Issue
-
Explained on Job
Need Training
Warning Given
Cleaner
-
Issued Fixed
Understood Issue
Not Sure
Need to be Check
Score
0
1
2
3
4
5
6
7
8
9
10
Selection 8: Supervisour
1.00
Type
-
Not Providing Train
Supplies Missing
Visiting Poor
Very Bad
Score
0
1
2
3
4
5
6
7
8
9
10
Selection 9: Toilet & Shower
1.00
Basin
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Floor
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Toilet / Unrinal
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Type
-
Neglected
Not Applicable
Never Done
Some area Missed
Very Poor
Issue
-
Explained on Job
Need Training
Warning Given
Cleaner
-
Issued Fixed
Understood Issue
Not Sure
Need to be Check
Score
0
1
2
3
4
5
6
7
8
9
10
Selection 10: Wall & Switch Board
1.00
Switch
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Scaff & Marks
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Skirt-Wall Dust
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Type
-
Neglected
Not Applicable
Never Done
Some area Missed
Very Poor
Issue
-
Explained on Job
Need Training
Warning Given
Cleaner
-
Issued Fixed
Understood Issue
Not Sure
Need to be Check
Score
0
1
2
3
4
5
6
7
8
9
10
Selection 11: Window & Partition Glass
1.00
Type
-
Neglected
Not Applicable
Never Done
Some area Missed
Very Poor
Window
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Partition
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Frame
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Issue
-
Explained on Job
Need Training
Warning Given
Cleaner
-
Issued Fixed
Understood Issue
Not Sure
Need to be Check
Score
0
1
2
3
4
5
6
7
8
9
10
Selection 12: Yard
1.00
Garden Bed
0
1
2
3
4
5
6
7
8
9
10
Bin Yard
-
Not Applicable
Very Good
Good
Satisfied
Not Satisfied
Poor
Very Poor
Bad
Filthy
Issue
-
Explained on Job
Need Training
Warning Given
Cleaner
-
Issued Fixed
Understood Issue
Not Sure
Need to be Check
Score
0
1
2
3
4
5
6
7
8
9
10
Total
0.00
Calculator
Number of Selection
Total Point
Your Score
1
2
3
4
5
6
7
8
9
10
Best
Worst
1 is Best, 10 is Worst
Staff and Personal
Please Tick any Boxes if you are satisfied with that.
House Keeping
Cleanliness of Storage
Not Empty Drums
Chemical Stored
Equipment
Cleanliness
Maintenance
ID Tags
Chemicals
Labelled
MSDS Available
Correct Handling Procedures
Other
ID Badges
Presentation
Uniforms
Staff
Trained Staff
Aware of MSDS
Understand Inspection Report
Customer Suggestion:
Please provide your information or suggestion or any other request in below boxes with any photos or files attached.(If Required)
Customer Satisfaction Survey
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
Service Quality
Overall Hygiene
Responsiveness
Kindness and Helpfulness
Products Stocking
Comunication
Your Star Rating
1
2
3
4
5
Any Specefic Requirment?
Colour, Sizes and Numbers
Any Specefic Issue?
Sizes and Numbers
Any Product Required?
Product Type
Customer Instruction or Complain:
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