Quality Inspection Report (IQIR)

A- OFFICES

	0	1-2	3-4	5
Trash Removed
Desks checked (only if in scope)
Floors swept/vacuumed
Visible clutter reported properly

B-RESTROOMS

	0	1-2	3-4	5
Toilets cleaned
Supplies restocked
Floors mopped
Mirrors and counters cleaned

C- COMMON AREAS

D- BREAK ROOMS

	0	1-2	3-4	5
Trash removed (only per contract scope)
Countertop cleanliness
Spills reported

E- EXTERIOR DOORS/ ENTRY POINTS

	0	1-2	3-4	5
Closed/secured
Glass spot-checked

Score ‘0’ indicates area was not accessed or not in scope—not a performance failure.”
SECTION 3- INTERNAL ISSUES FOUND (SGHG RESPONSIBLITY)

This section documents only conditions directly caused by SGHG Cleaning LLC.

Checklist

	Not Satisfied	Somewhat Satisfied	Comments
Trash not emptied
Liners not replaced
Soap/towels not restocked
Toliet not flushed
Floors missed
Door left open
Entry not secured
Checklist not completed
Time reported incorrectly
Supplies not communicated (low stock)

Checkbox List

	Yes	No	Comments
Appears unused since last service
Light use
Heavy use
Toilet not flushed(noted)
Usage unclear / unable to determine

Checkbox List

	Yes	No	Comments
Sealed screw-cap bottle (low-risk)
Snap-on lid cup (moderate risk)
Open cup/can/visible liquid (high risk)
Liquid present in trash can

If Yes Photo captured (before or after removal)

Why this matters:This converts anecdotal notes into quantifiable, trendable data the tenant can act on—without SGHG dictating policy.
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A- Enhance Break Room Tracking (D – BREAK ROOMS)

SECTION 4 -
Beverage containers with liquid observed”
Sink present and available?”

YesNo
B- Spill Event Classification Field

SECTION 4 -
Spill Encountered During Service

Yes – hard surface only (cleaned within scope)Yes – carpeted surface (out of scope)No
SGHG does not provide carpet extraction or carpet restoration services.
SECTION 4- CLIENT -CREATED ISSUES (Not SGHG Responsiblity)

This section documents observed conditions for risk awareness only and does not assign responsibility or fault.

Checkbox List

	Yes	No	Internal Issue = 5 PtsSeverity Level 2= 10 PtsSeverity Level 3= 20 Pts
Cardboard left beside trash cans
Trash left on breakdown tables
Office clutter blocking cleaning
Food waste left behind
Spills not cleaned by staff
Conference room restricted
Room locked
Private office content not to be moved

Other client-created issues
Severity points are used for internal Six Sigma trend analysis and do not represent contractual penalties.
SECTION 5- TRASH RECEPTACLE CONDITION TRACKING

To incorporate Six Sigma data:

Checkbox List

SECTION 7- INCIDENT SEVERITY LEVEL

Severity level used for internal trend analysis and risk prioritization.
Rate Level of Severity Level
This becomes part of your Six Sigma chart
SECTION 8- INTERNAL QUALITY SCORE
Score Ranges:
SECTION 9- SUPERVISOR COMMENTS & FOLLOW UP

NOTES
Follow-up required

YesNo
Retraining needed

YesNo
Supply issues noted

YesNo
Photo Documentation
Photo Upload

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Photo Documentation
File Upload

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Photo Documentation
File Upload

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Photo Documentation
File Upload

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Define score bands (e.g., “90–100 = Green / 75–89 = Yellow”)
Phone Number
Please enter a valid phone number.
Email
example@example.com
Location of Inspection
Other Selection Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Inspected Date

MonthDayYear
Date
Inspectors comments
Should be Empty:

SECTION 1- VISIT DETAILS