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ISSA CLEAN STANDARD: MEASURING THE EFFECTIVENESS OF CLEANING ISSA® — The Worldwide Cleaning Industry Association • 3300 Dundee Road, Northbrook, IL 60062 USA 800-225-4772 (North America) or 847-982-0800 • issa.com Building: __________________________________________________________________________________ Date: ___________________________________________________ Page __________of __________ Pages Okay = 1 Needs Some Attention = 2 Needs Immediate Attention = 3 Entrance # ______ Entrance # ______ Entrance # ______ Entrance # ______ Entrance # ______ Survey Item Entrance mats and floor grills are free of visible soil and debris, in good condition, and cover enough area to be effective Waste receptacles in good condition, empty and free of any visible soil Floors dry, in good condition and free of visible debris, soil, dust, residue and stains Drinking fountains clean and in good working condition Glass doors, decorative surfaces, ledges, trim, mirrors and bright work are in good condition and free of visible soil and residue Door knobs, push plates, crash bars and light switches in good condition and free of visible soil or residue Ceilings/light fixtures/walls/window/window coverings are dry, in good condition and free of visible soil, dust or stains Exit signs free of dust, visible and operational Notes on Entrance: ___________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Notes on Entrance: ___________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Notes on Entrance: ___________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Notes on Entrance: ___________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Notes on Area: ______________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Section A: Entrances, Lobbies, Halls and Commons

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