Housekeeping Service Report
1300 JAYCHEM (1300 529 243)
Site details
Site name
Address
Contact name
Position
Email
Phone
Jaychem representative
Name
Phone
Date
Service Type
Please select
Preventative Maintenance
Emergency Callout
Project Work
Audit Process
Program validation audit
Other
Facility Inspection
Staff member's name
Room inspected
General Comments / Follow Up
Project work
Yes
No
Project type
Asset audit
Staff procedural audit
Equipment audit
Water and energy audit
Chemical safety audit
Cleaning and sanitation audit
Non JayChem product audit
Hand hygiene audit
PPE audit
Cross infection audit
Chemical store audit
Process Validation
Rating
To be completed by the customer
Based on our service today, would you recommend JayChem to a friend or colleague?
Please select
1 - Strongly recommend JayChem
2 - Would recommend
3 - Neutral
4 - Would not recommend
5 - Strongly recommend against JayChem
Reviewed by
Signature
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Full name
Contact number
