Form
Vehicle scheduled deep clean Report/Checklist
Vehicle Reg
Date
-
Month
-
Day
Year
Date
Cleaners Name
Cleaning Process - Outside Clean - 3rd Party
Clean
All Panels
Please Select
Complete
Not Complete
All glass
Please Select
Complete
Not Complete
Wheels And Wheel Arches
Please Select
Complete
Not Complete
Mirrors
Please Select
Complete
Not Complete
Lights
Please Select
Complete
Not Complete
Number plates
Please Select
Complete
Not Complete
Door Handles
Please Select
Complete
Not Complete
Clean Disinfect & Decontaminate
Any Comments / actions
Cleaning Process - Cab Area
Clean Disinfect & Decontaminate
Outside Door Handles
Please Select
Complete
Not Complete
Headlining
Please Select
Complete
Not Complete
Steering Wheel
Please Select
Complete
Not Complete
Dashboard
Please Select
Complete
Not Complete
Seats inc under seats
Please Select
Complete
Not Complete
seat belts
Please Select
Complete
Not Complete
Doors/Bulkheads
Please Select
Complete
Not Complete
Footwells
Please Select
Complete
Not Complete
Floor & Foot Pedals
Please Select
Complete
Not Complete
Gear Stick & Handbrake
Please Select
Complete
Not Complete
Windows Side and Front
Please Select
Complete
Not Complete
Any Comments / actions
Cleaning Process - Communication Devices
Clean Disinfect & Decontaminate
Mobile Phones
Please Select
Complete
Not Complete
Dataheads
Please Select
Complete
Not Complete
Any Comments / actions
Cleaning Process - Saloon Area
Clean Disinfect & Decontaminate
Ceilings
Please Select
Complete
Not Complete
Walls
Please Select
Complete
Not Complete
All Cupboard facias
Please Select
Complete
Not Complete
All Cupboard interiors
Please Select
Complete
Not Complete
Storage boxes / trays
Please Select
Complete
Not Complete
Work Surfaces
Please Select
Complete
Not Complete
Seats Inc under
Please Select
Complete
Not Complete
Seatbelts
Please Select
Complete
Not Complete
Windows
Please Select
Complete
Not Complete
Floor & Floortracks
Please Select
Complete
Not Complete
Stretcher Clamp
Please Select
Complete
Not Complete
Tail Lift / Ramp
Please Select
Complete
Not Complete
Any Comments / actions
Cleaning Process - Equipment
Clean Disinfect & Decontaminate
Stretcher
Please Select
Complete
Not Complete
Carry Chair
Please Select
Complete
Not Complete
Wheel Chairs
Please Select
Complete
Not Complete
Transfer Boards
Please Select
Complete
Not Complete
Oxygen Bottle/Regulator
Please Select
Complete
Not Complete
Oxygen Flowmeter
Please Select
Complete
Not Complete
Oxygen Outlet
Please Select
Complete
Not Complete
Wheelchair Straps
Please Select
Complete
Not Complete
Spill Kit
Please Select
Complete
Not Complete
First Aid kit
Please Select
Complete
Not Complete
Any Comments / actions
Cleaning Process - Defogging
Disinfect & decontaminate
First Aid kit
Please Select
Complete
Not Complete
Cleaning Process - Laundry Removal
Disinfect & decontaminate
Removed All Laundry
Please Select
Complete
Not Complete
Place All used cloths in bag to be cleaned
Please Select
Complete
Not Complete
Submit
Should be Empty: