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ClinicalClean Checklist Form

Complete this 60-second worksheet and we'll prepare a customized cleaning proposal tailored to your facility.

Facility Information:

Facility Information:

Current Cleaning Frequency

Current Cleaning Frequency

ClinicalClean Standard Cleaning Services

☑ Empty trash & replace liners
☑ Clean and sanitize restroom fixtures
☑ Refill restroom consumables (client supplied)
☑ Vacuum carpeted areas
☑ Damp mop hard floors
☑ Dust horizontal surfaces
☑ Clean break room countertops & sink
☑ Spot clean mirrors
☑ Spot clean entry glass
☑ High-touch surface disinfection (door handles, light switches, etc.)

Optional Services

Optional Services

What is most important to you?

What is most important to you?