Gym/Locker Custodial Services Inspection Form
Enter description of if location has multiple Gyms/Locker Rooms.
Sign in to Google to save your progress. Learn more
Date: *
MM
/
DD
/
YYYY
Time Inspected *
Time
:
School *
Inspected By: *
Select your email address from the drop-down list.
*
You must select one answer per line.
Satisfactory
Unsatisfactory
N/A
Edges/baseboards are clean.
Corners are clean
Walls are dusted, graffiti, tape removed, et cetera
Glass is clean.
Trash containers are clean and empty.
Main surface/floor is clean, waxed, et cetera
LockerRooms are clean and sanitized.
Lights bulbs are working and clean. Covers are cleaned.
Ceiling Tiles exchanged as needed. (Stain, tears, etc.)
Grills, exhaust, air vents are dusted with filters changed as needed. 
For control purposes, select N/A
Gym/Locker Notes: *
Gym/Locker Painting:
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms