Facility Survey

Date: ______________
Name Address: ______________________________________
Contact: ________________________ Phone: ___________________ Email: ______________________
Bid due: ______________________

Type of facility: ____________________________________

Bid Details

Multi-tenant? ___ Single occupancy? ___ # Floors____ Cleanable Sq. Ft.____________ Population: ________
Length of contract: ____________ Start date: _______________ Day Porter/Matron service? __________
Service Schedule: Start time: _________ Finish time: ___________ Alarms? _________ Keys? ________
Mon__ Tues___ Wed___ Thurs ____ Fri ___ Sat ____ Sun____
Recycling? _____________ Dumpster locations/travel time: ____________________
Janitor closets? __________ Sized to fit equipment? __________ Shelving? __________ Slop sink? ________

General Requirements

Provided by Type/Style
Hand Cleaning
Paper Towels
Trash Bags
Can Liners

Area Floor type Size/count Area Floor type Size/count

Lobby/entrance Stairwells
Break room Kitchenette
Cafeteria Cubicle areas
Private offices Conference rooms
Copy room Computer room
Hallways Aisles
Elevators Locker rooms
Other: Other:

Restrooms Sinks Toilets Urinals Floor type Misc.

Men’s
Ladies
Private Men's
Private Ladies
Private Unisex
Other

Clean Calculator 8/15/2018

 Manufacturing Floor Type Size/Count Misc.
Shop offices
Wash basins
Production area
Warehouse
Shipping/rec
Cafeteria
Break room
Other:

Misc.

VCT Floor Care: Part of contract or separate bid? ________________

Scrub &
Spray Buffing: ____ Frequency_____ Wax______ Frequency________
Grout
Strip & Wax_____ Frequency_____ cleaning_____ Frequency________

Carpet Cleaning: Part of contract or carpet maintenance program? _______________

Type of carpet: ___________________________________________________
Sq. Ft of Carpeted Areas______________________
Preferred method of cleaning: Dry clean____ Low moisture_____ Hot water extraction_____

Window cleaning? __________ Frequency_______________

Inside _________ Exterior____________ Size ________________

Analysis
Cleanable Sq. Ft._____________
Production rate: ______________per hour.
Number of cleaners per shift: _____________ Day Porter/Matrons_______________
Full time___________ Part time: __________ Full time_________ Part time________
Hours per cleaner per shift_______________ Hours per cleaner per shift____________
Project workers (floor/carpet care) ___________
Hours per day/week for project work: ________________
Team Lead? ______________ Non-working supervisor? _________________
Uniforms? ______ ID badges? ___________ Background checks? ____________
Specialty Equipment: ________________________
Backpack vacuums___________ Upright vacuums___________ Brute barrels__________
Maid’s carts____________ Floor machine__________________
Restrooms supplies: Mark up%_______ Separate Invoice? _________ Part of contract? ___________
TP cost per case__________ PT cost per case_____________ Hand Soap cost per case/unit_______
Specialty chemicals? ______________________________________________________________________
Notes: __________________________________________________________________________________
________________________________________________________________________________________

Clean Calculator 8/15/2018