Supervisor Monthly Facility Assessment 2

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					                                                                     St. Louis Public Schools
                                                              Tel #: 314-535-2500 Fax #: 314-535-0149
                                                         Supervisors Monthly Facility Assessment

                                                                                  Visitations
School:                            _______________________                        Completed By: _____________________________
Principal:                         _______________________                        Date:         _____________________________

                                                                                            Appearance &                Last Month  Year To Date
                                                                                            Cleanliness Scores________________________________
       CMMS Review                                                                                    Staffing Allocation
# WOs Completed to date                        __________                                    Allocated            Actual                      Vacancy Covered by:

Status of all Outstanding Work Orders

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See attached outstanding work order list.
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                                                                      Needs Immediate                         Address Within
Facilities Assessment                                                    Attention                               1 week                                                 Not An Issue
Exterior Observations
         Grounds – Trash/debris on grounds                                   (     )                                  (       )                                                 (       )
         Snow – Removed from sidewalks                                       (     )                                  (       )                                                 (       )
Interior Observations
         Lights – Majority of lights are functional                          (     )                                  (       )                                                 (       )
         Floors – Some luster remains on floors                              (     )                                  (       )                                                 (       )
         Dusting – Tops of lockers free of dust                              (     )                                  (       )                                                 (       )
         Stairwells – Clean, free of dirt                                    (     )                                  (       )                                                 (       )

           Restrooms – Clean & odor free                                     (     )                                  (       )                                                 (       )

Custodian Concerns:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Principal Concerns:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Supervisor – Overall Facility Assessment/Action Plan
_______________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________




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                                                                                                   Principal/Designee Signature




8/26/11

				
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