Green Cleaning Site Visit Checklist - INFORM, Inc.

Strategies for a better environment120 Wall Street, 14th FloorNew York, NY 10005-4001212 361-2400Fax 212 361-2412www.informinc.orgWalk-Through Inspection Check ListFACILITY INFORMATIONFacility:Address:Main Contact:Square Footage:Phone:Number of Buildings:Purchasing Records Available? Y N Number of Custodians:SURVEY QUESTIONSCOMMENTS, NOTESHave there been any IAQ complaints? Y NIf so, what areas?What types of areas/surfaces need cleaning?Resilient FlooringCarpetFood Preparation AreasRestroomsHard SurfaceOther (Please specify)©2006 INFORM, Inc.Where are the cleaning products stored?Is this area properly ventilated? Y N Is the exhaust outlet evident? Y NWhat areas get disinfected? How often?Is there an IPM policy in place? Y NIs VCT present in the facility? Y NIf so, what level of gloss finish is used?Does the buffer have a vacuum attached? Y NDoes the facility use dilution stations? Y NDoes the facility use micro-fiber mops and cloths? Y NAre high-filtration vacuums in use? Y NAre floor mats used inside and outside of entries? Y NIs food allowed in all areas (offices, classrooms)? Y NAre animals allowed in the building? Y N

AUDIT OF MAINTENANCE PRODUCTSExisting ProductUseADDITIONAL INFORMATIONFOR MORE INFORMATION, CONTACT:Cameron S. Lory, Senior Associate, Chemical Hazards Prevention Program, 212-361-2400, x 232, lory@informinc.orgCarol Westinghouse, Senior Consultant, Cleaning for Health, 802-626-8643,westies@ecoisp.com©2006 INFORM, Inc.