Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Cleaning inspection
Date
*
-
Day
-
Month
Year
Date
Upvc windows cleaned
*
Gleaming
Acceptable
Unacceptable
Not required
Upvc doors cleaned
*
Gleaming
Acceptable
Unacceptable
Not required
Upvc cladding
*
Gleaming
Acceptable
Unacceptable
Not required
Upvc fascia and soffits
*
Gleaming
Acceptable
Unacceptable
Not required
Upvc conservatory/roof
*
Gleaming
Acceptable
Unacceptable
Not required
Windows glass cleaned and checked
*
Yes
No
Gutters cleaned
*
Yes
Not required
GUTTERS MUST BE CHECKED BY SUPERVISOR
*
Yes
Signature
*
Gutter overspill cleaned
*
Yes
no.
Gutters cleaned by
Name
*
First Name
Last Name
Staff evaluation
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Service Quality
Cleanliness
Responsiveness
Friendliness
Customer unavailable
Customer not home
Asked to sign for customer
Notes
Supervisor signature (quality check of job)
Customer signature
Equipment in silver van
*
Rows
Start of job
End of job
Big brush (5)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Tfr bucket (1)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Gutter bucket 2
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Crates (1)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Tap connection
(2)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Hose nozzles
(1)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Grey tap con
(3)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Adjust tap con
(1)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Wipers (4)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Mops (4)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Mini ladder (1)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Metal nozzle (1)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Equipment in powerwashing van
*
Rows
Start Of job
End of job
Tap connection (2)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Hose nozzles
(1)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Grey tap conn
(1)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Adjust tap con
(1)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Petrol cans (3)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Yard brush (1)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Shovel (1)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Small brush (1)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Mini ladder (2)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Metal nozzle (1)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Mops (4)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Wipers (4)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Crate (1)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
Large poles (5)
0
1
2
3
4
5
6
0
1
2
3
4
5
6
LADDERS HAVE BEEN SECURED ON THE ROOF OF VAN AND CHECKED BY SUPERVISOR BEFORE DEPARTURE OF EACH JOB
*
Submit
Should be Empty: