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Forms

EJAZON™

Housekeeping Assessment & Customer Visit Information

Work through each step at the site. When you submit on the last step, the full assessment is emailed to the team with any photos attached.

    1

    Assessment / visit identification

    The Assessment ID and date & time are added automatically when the assessment is submitted.

    This field is required

    This field is required

    This field is required

    2

    Customer / organization details

    This field is required

    This field is required

    This field is required

    This field is required

    This field is required

    This field is required

    This field is required

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    3

    Facility & manpower profile

    This field is required

    Sq.ft., if known

    This field is required

    Housekeeping model

    This field is required

    This field is required

    This field is required

    This field is required

    This field is required

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    Working shifts

    This field is required

    This field is required

    This field is required

    4

    Areas & cleaning condition

    Tick the areas that apply. For each ticked area, record its condition and a short observation.

    5

    Cleaning activities & frequency

    Mark whether each activity is performed. When it is, record the frequency and any gap you observed.

    Daily Floor Cleaning
    Deep Cleaning
    Floor Scrubbing
    Vacuum Cleaning
    Carpet Cleaning
    Washroom Cleaning
    Glass Cleaning
    Disinfection
    Outdoor Cleaning
    Waste Collection
    Floor Polishing
    6

    Machinery assessment

    Add each machine as its own record. There is no limit.

    No machinery added. Add each machine at the site as its own record.

    7

    Chemical assessment

    Add each chemical as its own record. There is no limit.

    No chemicals added. Add each chemical in use as its own record.

    8

    Consumables, tools & PPE

    Add each consumable, tool or PPE item as its own record. There is no limit.

    No consumables, tools or PPE added.

    9

    Housekeeping performance score

    This score is for the assessment report only. It is not a sales lead score.

    1 Poor2 Needs improvement3 Satisfactory4 Good5 ExcellentN.A. Not assessed
    Overall Cleaning Quality
    Floor Cleanliness
    Washroom Hygiene
    Disinfection Practice
    Equipment Availability
    Equipment Condition
    Chemical Selection & Usage
    Tools & Consumables Availability
    PPE / Safety Practice
    Waste Handling / Segregation
    Staff Productivity / Work Method
    Training / Skill Level
    Stock / Supply Management
    10

    Key problems / findings

    Record at least one finding. Each finding appears in the email as its own block.

    Finding 1
    Describe the observed or reported gap

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    Severity

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    What supports this finding?

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    Only if reasonably identified

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    11

    Customer requirement & business opportunity

    The key issue the customer wants addressed

    This field is required

    Products / services required

    This field is required

    This field is required

    ₹
    Optional. Internal only

    This field is required

    ₹
    Optional. Internal only

    This field is required

    12

    Support requested & follow-up

    Customer wants

    This field is required

    This field is required

    This field is required

    This field is required

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    Overall site assessment and important context

    This field is required

    13

    Site photographs

    Optional

    Add one photo per record with a category and caption. Keep the total under 15 MB.

    No photos added. Photos are optional and are attached to the email.

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