Cleaning Log - HR Works

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INSERT COMPANY NAME OR LOGOINSERT COMPANY NAME OR LOGOCOVID-19 – ENVIRONMENTAL CLEANING AND DISINFECTING LOGEmployer Instructions: Adhere to hygiene and sanitation from the Centers for Disease Control and Prevention (CDC), Department of Health (DOH) and New York State. Maintain cleaning logs that document date, time and scopeof cleaning. Employers are required to conduct regular cleaning and disinfection at least after every shift, daily, or more frequently as needed, and frequent cleaning and disinfection of shared objects (e.g. tools, machinery).Important! The virus that causes COVID-19 can survive in the environment for up to several days and is commonly found on surfaces that are touched often through the day. Frequent cleaning and disinfecting will killthe virus and stop its spread to others.All frequently touched items/surfaces must be cleaned by the person assigned to each area daily. This includes, but is not limited to: [Modify list as needed: countertops, handles, tables, chairs, doorknobs, light switches,office equipment, machines, sinks, toilets, fixtures, etc.]Areas or objects that are not required to be cleaned daily should be documented with the date, time and scope.WEEK of X/XX/XXXXX/XX/XXXX through X/XX/XXXXX/XX/XXXXDay of the WeekDaily Cleaning AreaTime Completed(AM)Person(s) AssignedTime Completed(PM)NotesBreakroom/ Kitchen/ CafeteriaBathroomsCommon Areas in the WorkplaceMondayBreakroom/ Kitchen/ CafeteriaBathroomsCommon Areas in the WorkplaceTuesdayBreakroom/ Kitchen/ CafeteriaBathroomsCommon Areas in the WorkplaceWednesdayBreakroom/ Kitchen/ CafeteriaBathroomsCommon Areas in the WorkplaceThursdayBreakroom/ Kitchen/ CafeteriaBathroomsCommon Areas in the WorkplaceFridayBreakroom/ Kitchen/ CafeteriaBathroomsCommon Areas in the WorkplaceSaturdayBreakroom/ Kitchen/ CafeteriaBathroomsCommon Areas in the WorkplaceSunday1 of 15 2020 HR Works, Inc.www.hrworks-inc.com

INSERTCOMPANYNAME OR LOGOINSERT COMPANYNAMEOR LOGOCOVID-19 – ENVIRONMENTAL CLEANING AND DISINFECTING LOGEmployer Instructions: Adhere to hygiene and sanitation from the Centers for Disease Control and Prevention (CDC), Department of Health (DOH) and New York State. Maintain cleaning logsthat document date, time and scope of cleaning. Employers are required to conduct regular cleaning and disinfection at least after every shift, daily, or more frequently as needed, and frequentcleaning and disinfection of shared objects (e.g. tools, machinery).Important! The virus that causes COVID-19 can survive in the environment for up to several days and is commonly found on surfaces that are touched often through the day. Frequentcleaning and disinfecting will kill the virus and stop its spread to others.All frequently touched items/surfaces must be cleaned by the person assigned to each area daily. This includes, but is not limited to: [ Modify list as needed: countertops, handles, tables,chairs, doorknobs, light switches, office equipment, machines, sinks, toilets, fixtures, etc. ]Areas or objects that are not required to be cleaned daily should be documented with the date, time and scope.X/XX/XXXXX/XX/XXXXWEEK of X/XX/XXXXthrough X/XX/XXXXDay of theWeekDaily Cleaning AreaPerson(s) AssignedTime Completed (AM) Time Completed (PM)NotesTablesChairsCountertopsCupboard & drawer handlesBreakroom/Kitchen/CafeteriaLight switchesFridge handlesMicrowave (handles& buttons)Sink, handle & fixturesGarbage bin lidsDoor knobsOther commonly toucheditems/surfacesToiletsHandwashing sinksLight switchesMondayBathroomsDoor handles & knobsDispensersOther commonly toucheditems/surfacesCopiersThermostatsLight switchesDoor knobsCommonAreas in ce equipmentOther commonly toucheditems/surfaces2 of 15 2020 HR Works, Inc.www.hrworks-inc.com

X/XX/XXXXX/XX/XXXXWEEK of X/XX/XXXXthrough X/XX/XXXXDay of theWeekDaily Cleaning AreaPerson(s) AssignedTime Completed (AM) Time Completed (PM)NotesTablesChairsCountertopsCupboard & drawer handlesLight switchesBreakroom/Kitchen/CafeteriaFridge handlesMicrowave (handles& buttons)Sink, handle & fixturesGarbage bin lidsDoor knobsOther commonly toucheditems/surfacesToiletsHandwashing sinksLight switchesTuesdayBathroomsDoor handles & knobsDispensersOther commonly toucheditems/surfacesCopiersThermostatsLight switchesDoor knobsHandlesCommonAreas in theWorkplaceTablesChairsKeyboardsPhonesOffice equipmentOther commonly rd & drawer handlesBreakroom/Kitchen/CafeteriaLight switchesFridge handlesMicrowave (handles& buttons)Sink, handle & fixturesGarbage bin lidsDoor knobsitems/surfacesToiletsHandwashing sinksWednesdayBathroomsLight switchesDoor handles & ht switchesDoor knobsCommonAreas in ce equipmentitems/surfaces3 of 15 2020 HR Works, Inc.www.hrworks-inc.com

X/XX/XXXXX/XX/XXXXWEEK of X/XX/XXXXthrough X/XX/XXXXDay of theWeekDaily Cleaning AreaPerson(s) AssignedTime Completed (AM) Time Completed (PM)NotesTablesChairsCountertopsCupboard & drawer handlesBreakroom/Kitchen/CafeteriaLight switchesFridge handlesMicrowave (handles& buttons)Sink, handle & fixturesGarbage bin lidsDoor knobsitems/surfacesToiletsHandwashing sinksThursdayBathroomsLight switchesDoor handles & ht switchesDoor knobsCommonAreas in ce oard & drawer handlesBreakroom/Kitchen/CafeteriaLight switchesFridge handlesMicrowave (handles& buttons)Sink, handle & fixturesGarbage bin lidsDoor knobsitems/surfacesToiletsHandwashing sinksFridayBathroomsLight switchesDoor handles & ht switchesDoor knobsCommonAreas in ce equipmentitems/surfaces4 of 15 2020 HR Works, Inc.www.hrworks-inc.com

X/XX/XXXXWEEK of X/XX/XXXXthrough X/XX/XXXXX/XX/XXXXDay of theWeekDaily Cleaning AreaPerson(s) AssignedTime Completed (AM) Time Completed (PM)NotesTablesChairsCountertopsCupboard & drawer handlesBreakroom/Kitchen/CafeteriaLight switchesFridge handlesMicrowave (handles& buttons)Sink, handle & fixturesGarbage bin lidsDoor knobsitems/surfacesToiletsHandwashing sinksSaturdayBathroomsLight switchesDoor handles & ht switchesDoor knobsCommonAreas in ce oard & drawer handlesLight switchesBreakroom/Kitchen/CafeteriaFridge handlesMicrowave (handles& buttons)Sink, handle & fixturesGarbage bin lidsDoor knobsOther commonly toucheditems/surfacesToiletsHandwashing sinksLight switchesSundayBathroomsDoor handles & knobsDispensersOther commonly toucheditems/surfacesCopiersThermostatsLight switchesDoor knobsHandlesCommonAreas in theWorkplaceTablesChairsKeyboardsPhonesOffice equipmentOther commonly toucheditems/surfaces5 of 15 2020 HR Works, Inc.www.hrworks-inc.com

INSERTCOMPANYORINSERTCOMPANYNAMENAMEOR LOGOLOGOCOVID-19 – ENVIRONMENTAL CLEANING AND DISINFECTING LOGEmployer Instructions: Adhere to hygiene and sanitation from the Centers for Disease Control and Prevention (CDC), Department of Health (DOH) and New York State. Maintain cleaning logs that document date,time and scope of cleaning. Employers are required to conduct regular cleaning and disinfection at least after every shift, daily, or more frequently as needed, and frequent cleaning and disinfection of shared objects(e.g. tools, machinery).Important! The virus that causes COVID-19 can survive in the environment for up to several days and is commonly found on surfaces that are touched often through the day. Frequent cleaning anddisinfecting will kill the virus and stop its spread to others.All frequently touched items/surfaces must be cleaned by the person assigned to each area daily. This includes, but is not limited to: [ Modify list as needed: countertops, handles, tables, chairs, doorknobs,light switches, office equipment, machines, sinks, toilets, fixtures, etc.]Areas or objects that are not required to be cleaned daily should be documented with the date, time and scope.X/XX/XXXXX/XX/XXXXWEEK of X/XX/XXXXthrough X/XX/XXXXMondayOther commonly touched items/surfacesOffice equipmentPhonesKeyboardsChairsTablesHandlesDoor knobsLight switchesThermostatsCopiersOther commonly touched items/surfacesCommon Areas in the WorkplaceDispensersDoor handles & knobsLight switchesHandwashing sinksToiletsOther commonly touched items/surfacesDoor knobsBathroomsGarbage bin lidsSink, handle & fixturesMicrowave (handles& buttons)Fridge handlesLight switchesCountertopsChairsTablesIncludesCupboard & drawer handlesBreakroom/ Kitchen/ CafeteriaDaily Cleaning AreaPerson(s) AssignedTime Completed (AM)Time Completed (PM)Notes6 of 15 2020 HR Works, Inc.www.hrworks-inc.com

Includes7 of 15Common Areas in the WorkplaceKeyboardsChairsTablesHandlesOther commonlytouched items/surfacesWednesdayOther commonlytouched items/surfacesNotesOffice equipmentTime Completed (PM)Office equipmentTime Completed (AM)PhonesPerson(s) sDoor knobsLight switchesThermostatsCopiersOther commonlytouched items/surfacesDispensersDoor handles & knobsBathroomsDoor knobsLight switchesThermostatsCopiersOther commonlytouched items/surfacesDispensersDoor handles & knobsBreakroom/ Kitchen/ CafeteriaLight switchesHandwashing sinksToiletsOther commonlytouched items/surfacesDoor knobsGarbage bin lidsSink, handle & fixturesMicrowave (handles&buttons)Fridge handlesLight switchesBreakroom/ Kitchen/ CafeteriaLight switchesHandwashing sinksToiletsOther commonlytouched items/surfacesDoor knobsGarbage bin lidsSink, handle & fixturesMicrowave (handles&buttons)Fridge handlesLight switchesDaily Cleaning AreaCupboard & drawerhandlesDaily Cleaning AreaCupboard & rtopsChairsTablesX/XX/XXXXX/XX/XXXXWEEK of X/XX/XXXXthrough X/XX/XXXXTuesdayCommon Areas in the WorkplacePerson(s) AssignedTime Completed (AM)Time Completed (PM)Notes 2020 HR Works, Inc.www.hrworks-inc.com

Includes8 of 15Common Areas in the WorkplaceKeyboardsChairsTablesHandlesOther commonlytouched items/surfacesFridayOther commonlytouched items/surfacesNotesOffice equipmentTime Completed (PM)Office equipmentTime Completed (AM)PhonesPerson(s) sDoor knobsLight switchesThermostatsCopiersOther commonlytouched items/surfacesDispensersDoor handles & knobsBathroomsDoor knobsLight switchesThermostatsCopiersOther commonlytouched items/surfacesDispensersDoor handles & knobsBreakroom/ Kitchen/ CafeteriaLight switchesHandwashing sinksToiletsOther commonlytouched items/surfacesDoor knobsGarbage bin lidsSink, handle & fixturesMicrowave (handles&buttons)Fridge handlesLight switchesBreakroom/ Kitchen/ CafeteriaLight switchesHandwashing sinksToiletsOther commonlytouched items/surfacesDoor knobsGarbage bin lidsSink, handle & fixturesMicrowave (handles&buttons)Fridge handlesLight switchesDaily Cleaning AreaCupboard & drawerhandlesDaily Cleaning AreaCupboard & rtopsChairsTablesX/XX/XXXXX/XX/XXXXWEEK of X/XX/XXXXthrough X/XX/XXXXThursdayCommon Areas in the WorkplacePerson(s) AssignedTime Completed (AM)Time Completed (PM)Notes 2020 HR Works, Inc.www.hrworks-inc.com

Includes9 of 15Other commonlytouched items/surfacesOffice msDoor knobsLight switchesThermostatsCopiersOther commonlytouched items/surfacesDispensersDoor handles & knobsBreakroom/ Kitchen/ CafeteriaLight switchesHandwashing sinksToiletsOther commonlytouched items/surfacesDoor knobsGarbage bin lidsSink, handle & fixturesMicrowave (handles&buttons)Fridge handlesLight switchesDaily Cleaning AreaCupboard & XXXXWEEK of X/XX/XXXXthrough X/XX/XXXXSaturdayCommon Areas in the WorkplacePerson(s) AssignedTime Completed (AM)Time Completed (PM)Notes 2020 HR Works, Inc.www.hrworks-inc.com

INSERT COMPANY NAME OR LOGOINSERT COMPANY NAME OR LOGOCOVID-19 – ENVIRONMENTAL CLEANING AND DISINFECTING LOGEmployer Instructions: Adhere to hygiene and sanitation from the Centers for Disease Control and Prevention (CDC), Department of Health (DOH) and New York State. Maintain cleaning logs that document date, time and scope of cleaning. Employers are required to conduct regular cleaning and disinfection atleast after every shift, daily, or more frequently as needed, and frequent cleaning and disinfection of shared objects (e.g. tools, machinery).Important! The virus that causes COVID-19 can survive in the environment for up to several days and is commonly found on surfaces that are touched often through the day. Frequent cleaning and disinfecting will kill the virus and stop its spread to others.All Frequently Touched Items/Surfaces Must Be Cleaned by the Person Assigned to each area. This includes, but is not limited to: [Modify list as needed:countertops, handles, tables, chairs, doorknobs, light switches, office equipment, machines, sinks, toilets, fixtures, etc.]X/XX/XXXX through X/XX/XXXXX/XX/XXXXMonth of X/XX/XXXXMorning (AM)Day of the MonthAfternoon (PM)Additional Assigned Areas/ObjectsFacility AreasPerson(s) ResponsibleTime CompletedCleaning NotesPerson(s) ResponsibleTime CompletedCleaning NotesPerson(s) ResponsibleTime CompletedCleaning NotesBreakroom/ Kitchen/Cafeteria1BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria2BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria3BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria4BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria5BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria6BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria7BathroomsCommon Areas10 of 15 2020 HR Works, Inc.www.hrworks-inc.com

X/XX/XXXXMonth of X/XX/XXXXX/XX/XXXX through X/XX/XXXXMorning (AM)Day of the MonthAfternoon (PM)Additional Assigned Areas/ObjectsFacility AreasPerson(s) ResponsibleTime CompletedCleaning NotesPerson(s) ResponsibleTime CompletedCleaning NotesPerson(s) ResponsibleTime CompletedCleaning NotesBreakroom/ Kitchen/Cafeteria8BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria9BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria10BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria11BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria12BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria13BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria14BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria15BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria16BathroomsCommon Areas11 of 15 2020 HR Works, Inc.www.hrworks-inc.com

X/XX/XXXXMonth of X/XX/XXXXX/XX/XXXX through X/XX/XXXXMorning (AM)Day of the MonthAfternoon (PM)Additional Assigned Areas/ObjectsFacility AreasPerson(s) ResponsibleTime CompletedCleaning NotesPerson(s) ResponsibleTime CompletedCleaning NotesPerson(s) ResponsibleTime CompletedCleaning NotesBreakroom/ Kitchen/Cafeteria17BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria18BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria19BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria20BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria21BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria22BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria23BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria24BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria25BathroomsCommon Areas12 of 15 2020 HR Works, Inc.www.hrworks-inc.com

X/XX/XXXXX/XX/XXXX through X/XX/XXXXMonth of X/XX/XXXXMorning (AM)Day of the MonthAfternoon (PM)Additional Assigned Areas/ObjectsFacility AreasPerson(s) ResponsibleTime CompletedCleaning NotesPerson(s) ResponsibleTime CompletedCleaning NotesPerson(s) ResponsibleTime CompletedCleaning NotesBreakroom/ Kitchen/Cafeteria26BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria27BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria28BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria29BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria30BathroomsCommon AreasBreakroom/ Kitchen/Cafeteria31BathroomsCommon Areas13 of 15 2020 HR Works, Inc.www.hrworks-inc.com

INSERT COMPANYNAMEOR LOGOINSERT COMPANYNAME ORLOGOCOVID-19 – ENVIRONMENTAL CLEANING AND DISINFECTING LOGEmployer Instructions: Adhere to hygiene and sanitation from the Centers for Disease Control and Prevention (CDC), Department of Health (DOH) and New York State. Maintain cleaning logs that document date, time and scopeof cleaning. Employers are required to conduct regular cleaning and disinfection at least after every shift, daily, or more frequently as needed, and frequent cleaning and disinfection of shared objects (e.g. tools, machinery).Important! The virus that causes COVID-19 can survive in the environment for up to several days and is commonly found on surfaces that are touched often through the day. Frequent cleaning and disinfecting will help kill thevirus and stop its spread to others.All Frequently Touched Items/Surfaces Must Be Cleaned by the Person Assigned to each area. This includes, but is not limited to: [Modify list as needed:countertops, handles, tables, chairs, doorknobs, light switches, officeequipment, machines, sinks, toilets, fixtures, etc. ]Month of X/XX/XXXXX/XX/XXXX through X/XX/XXXXX/XX/XXXXEnd of Shift ADay of theMonthFacility AreaPerson(s) ResponsibleTimeCompletedEnd of Shift CEnd of Shift aningNotesPerson(s) ResponsibleTimeCompletedAdditional Assigned Areas/ObjectsCleaningNotesPerson(s) ResponsibleTimeCompletedCleaningNotesBreakroom/ Kitchen/ Cafeteria1BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria2BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria3BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria4BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria5BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria6BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria7BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria8BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria9BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria10BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria11BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria12BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria13BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria14BathroomsCommon Areas14 of 15 2020 HR Works, Inc.www.hrworks-inc.com

X/XX/XXXXMonth of X/XX/XXXXX/XX/XXXX through X/XX/XXXXEnd of Shift ADay of theMonthFacility AreaPerson(s) ResponsibleTimeCompletedEnd of Shift BCleaningNotesPerson(s)ResponsibleTimeCompletedEnd of Shift CCleaningNotesPerson(s) ResponsibleTimeCompletedAdditional Assigned Areas/ObjectsCleaningNotesPerson(s) ResponsibleTimeCompletedCleaningNotesBreakroom/ Kitchen/ Cafeteria15BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria16BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria17BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria18BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria19BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria20BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria21BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria22BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria23BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria24BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria25BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria26BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria27BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria28BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria29BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria30BathroomsCommon AreasBreakroom/ Kitchen/ Cafeteria31BathroomsCommon Areas15 of 15 2020 HR Works, Inc.www.hrworks-inc.com

Maintain cleaning logs that document date, time and scope of cleaning. Employers are required to conduct regular cleaning and disinfection at least after every shift, daily, or more frequently as needed, and frequent cleaning and disinfection of shared objects (e.g. tools, machinery). C

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