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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 Stair/ Elevator Location # ______ Stair/ Elevator Location # ______ Stair/ Elevator Location # ______ Stair/ Elevator Location # ______ Stair/ Elevator Location # ______ Survey Item Floors/ceilings/windows/ walls/lights are dry, in good condition and free of visible debris, soil, dust, residue and stains Bright work, hand rails and control consoles are in good condition and free of any visible soils or residue Steps and landings are free of visible soil and debris Floors/ceilings/windows/ walls/lights are dry, in good condition and free of visible debris, soil, dust, residue and stains Bright work, hand rails and control consoles are in good condition and free of any visible soils or residue Steps and landings are free of visible soil and debris Floors/ceilings/windows/ walls/lights are dry, in good condition and free of visible debris, soil, dust, residue and stains Bright work, hand rails and control consoles are in good condition and free of any visible soils or residue Steps and landings are free of visible soil and debris Notes on Stairwell/Elevator: ___________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Notes on Stairwell/Elevator: ___________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Notes on Stairwell/Elevator: ____________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Notes on Stairwell/Elevator: ____________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Notes on Area: ______________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Section B: Stairwells

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