Commercial Laundry Service Report
1300 JAYCHEM (1300 529 243)
Site details
Site name
Address
Contact name
Position
Email
Additional Email
Additional Email
Phone
Jaychem representative
Name
Phone
Date
Service Type
Please select
Preventative Maintenance
Emergency Callout
Project Work
Audit Process
Program validation audit
Other
Linen Inspection
Visual Inspection
Feel
Scent
Fabric
Classification
White Sheets
White Towels
Colour Sheets
Colour Towels
Personals
White Table Linen
Colour Table Linen
Pillow Slips
Microfibre
Kitchen Cloths
Spa Towels
Mildew Wash
White Garments
Colour Garments
Mats
Theatre Linen
Foul/Infectious
Overalls
Rewash
Reclaim
Tea Towels
Woolens/Delicates
New Linen
Blankets
Mattress Protectors
Theatre Scrubs
Reflective Tape
Ovens Mitts
Mops
Gloves
Other
Visual Inspection
White
Bright
Grey
Faded
Washed out
Yellowing
Stained
Feel
Soft
Delicate
Smooth
Fluffy
Course
Rough
Scent
Fresh
Floral
No scent
Malodour
Unpleasant
Burnt
Acidic
Fabric
Excellent
Average
Worn
Damaged
Threadbare
Add Row
Staff Procedures
Productivity Rating
Please Select
Excellent
Above average
Above target
Above group average
Good
Correct
Below average
Below target
Below group average
Poor
Unavailable
Please select
Resulting in increased total wash costs
Resulting in higher costs compared to the group
Sorting
Please Select
Excellent
Good
Correct
Training required
Training delivered
Poor
Unseen
Please select
Resulting in poor wash outcomes
Potential for linen damage if washed with a different classification
Please refer to training records for name details
Training to be scheduled with staff
Training scheduled with staff, please see notes for date/time
Loading
Please Select
Correct
Overloaded
Significantly overloaded
Underloaded
Significantly underloaded
Not operational
Please select
Resulting in poor mechanical action and poor wash results
Resulting in increased water, energy, chemical and machine wear and tear costs
This creates excessive foam reducing mechanical action and leading to poor wash results
Program Selection
Please Select
Correct
Incorrect
Not operational
Please select
Resulting in poor wash outcomes
Potential for linen damage if washed on the wrong classification
Unloading
Please Select
Correct
Incorrect
Not witnessed
Please select
Potential for damage to linen to occur
Cross infection procedural breakdown, refer notes for detailed explanation
Linen Storage
Please Select
Correct, per linen classification
Neat, tidy and clean
Pests identified
Disorganised
Neat, cleaning required
Not witnessed
Please select
Pest can lead to linen/reputational damage or disease
Ants found in linen store, action required to correct
Organisation required to improve linen storage and flow
General cleaning required to bring store up to a high standard
Add field
CBW Titration
Machine make
Jensen
Senking
Kannegiesser
Milnor
Lavatec
Image
Vega
Braun
Other
Pocket size
15kg
16kg
17kg
18kg
19kg
20kg
21kg
22kg
23kg
24kg
25kg
26kg
27kg
28kg
29kg
30kg
31kg
32kg
33kg
34kg
35kg
36kg
37kg
38kg
39kg
40kg
41kg
42kg
43kg
44kg
45kg
46kg
47kg
48kg
49kg
50kg
51kg
52kg
53kg
54kg
55kg
56kg
57kg
58kg
59kg
60kg
61kg
62kg
63kg
64kg
65kg
66kg
67kg
68kg
69kg
70kg
71kg
72kg
73kg
74kg
75kg
76kg
77kg
78kg
79kg
80kg
81kg
82kg
83kg
84kg
85kg
86kg
87kg
88kg
89kg
90kg
91kg
92kg
93kg
94kg
95kg
96kg
97kg
98kg
99kg
100kg
Classification
White Sheets
White Towels
Colour Sheets
Colour Towels
Personals
White Table Linen
Colour Table Linen
Pillow Slips
Microfibre
Kitchen Cloths
Spa Towels
Mildew Wash
White Garments
Colour Garments
Mats
Theatre Linen
Foul/Infectious
Overalls
Rewash
Reclaim
Tea Towels
Woolens/Delicates
New Linen
Blankets
Mattress Protectors
Theatre Scrubs
Reflective Tape
Ovens Mitts
Mops
Gloves
Other
1
2
3
4
5
6
7
8
9
10
Draw Chart
Add Machine
Washer Extractor Titration
Make
Electrolux
LG Commercial
IPSO
Girbau
Speed Queen
Unimac
Milnor
Miele
Jensen
Maytag
Small Chassis
Image
Oasis
Dexter
Primus
Huebsch
Other
Machine Size
7kg
8kg
9kg
10kg
11kg
12kg
13kg
14kg
15kg
16kg
17kg
18kg
19kg
20kg
21kg
22kg
23kg
24kg
25kg
26kg
27kg
28kg
29kg
30kg
31kg
32kg
33kg
34kg
35kg
36kg
37kg
38kg
39kg
40kg
41kg
42kg
43kg
44kg
45kg
46kg
47kg
48kg
49kg
50kg
51kg
52kg
53kg
54kg
55kg
56kg
57kg
58kg
59kg
60kg
61kg
62kg
63kg
64kg
65kg
66kg
67kg
68kg
69kg
70kg
71kg
72kg
73kg
74kg
75kg
76kg
77kg
78kg
79kg
80kg
81kg
82kg
83kg
84kg
85kg
86kg
87kg
88kg
89kg
90kg
91kg
92kg
93kg
94kg
95kg
96kg
97kg
98kg
99kg
100kg
101kg
102kg
103kg
104kg
105kg
106kg
107kg
108kg
109kg
110kg
111kg
112kg
113kg
114kg
115kg
116kg
117kg
118kg
119kg
120kg
121kg
122kg
123kg
124kg
125kg
126kg
127kg
128kg
129kg
130kg
131kg
132kg
133kg
134kg
135kg
136kg
137kg
138kg
139kg
140kg
141kg
142kg
143kg
144kg
145kg
146kg
147kg
148kg
149kg
150kg
151kg
152kg
153kg
154kg
155kg
156kg
157kg
158kg
159kg
160kg
161kg
162kg
163kg
164kg
165kg
166kg
167kg
168kg
169kg
170kg
171kg
172kg
173kg
174kg
175kg
176kg
177kg
178kg
179kg
180kg
181kg
182kg
183kg
184kg
185kg
186kg
187kg
188kg
189kg
190kg
191kg
192kg
193kg
194kg
195kg
196kg
197kg
198kg
199kg
200kg
Add Machine
Wash Titration
Please select disinfection
Thermal disinfection
Chemical disinfection
Chemothermic disinfection
Wash Temperature
Conductivity
Alkalinity (ppm)
Bleach (ppm)
pH (Final Rinse)
Classification
White Sheets
White Towels
Colour Sheets
Colour Towels
Personals
White Table Linen
Colour Table Linen
Pillow Slips
Microfibre
Kitchen Cloths
Spa Towels
Mildew Wash
White Garments
Colour Garments
Mats
Theatre Linen
Foul/Infectious
Overalls
Rewash
Reclaim
Tea Towels
Woolens/Delicates
New Linen
Blankets
Mattress Protectors
Theatre Scrubs
Reflective Tape
Ovens Mitts
Mops
Gloves
Other
N/A
20°C
21°C
22°C
23°C
24°C
25°C
26°C
27°C
28°C
29°C
30°C
31°C
32°C
33°C
34°C
35°C
36°C
37°C
38°C
39°C
40°C
41°C
42°C
43°C
44°C
45°C
46°C
47°C
48°C
49°C
50°C
51°C
52°C
53°C
54°C
55°C
56°C
57°C
58°C
59°C
60°C
61°C
62°C
63°C
64°C
65°C
66°C
67°C
68°C
69°C
70°C
71°C
72°C
73°C
74°C
75°C
76°C
77°C
78°C
79°C
80°C
81°C
82°C
83°C
84°C
85°C
86°C
87°C
88°C
89°C
90°C
>90°C
Add Row
Dispenser Inspection
Functional test
Please select
Complete - system fully operational
Complete - system faulty, repaired, tested, ok
Complete - system faulty, unable to repair, parts ordered
Complete - system operational, parts proactively ordered for next visit
Complete - system operational, parts proactively replaced
Complete - additional equipment required
Incomplete - unable to access one or more dispensers (ref General Comments)
Correct labelling
Please select
Labelling correct and in place
Mislabelled items found, removed from circulation
Mislabelled items found, relabelled
No labels found
Wall charts
Please select
Wallcharts inspected, correct and in good condition
Wallcharts inspected, correct but in poor condition, replaced
Wallcharts inspected, incorrect or in poor condition, replaced
No charts found
SDS
Please select
SDS inspected, correct, within date and accessible
SDS inspected, incorrect, replacement required
SDS wall charts in place and in good condition
Add field
Facility Condition Report
Impact
Corrections / Recommendations
Washer/s
Please select
New
Good condition
In need of service
In need of replacement
Awaiting replacement
In need of repair
Awaiting repair
Out of order
Safety hazard
Dryer/s
Please select
New
Good condition
In need of service
In need of replacement
Awaiting replacement
In need of repair
Awaiting repair
Out of order
Safety hazard
Ironer
Please select
New
Good condition
In need of service
In need of replacement
Awaiting replacement
In need of repair
Awaiting repair
Out of order
Safety hazard
Not present
Floors
Please select
Good, clean condition
Cleaning required
In need of resealling
In need of repainting
Vinyl needs repair
Unpainted raw concrete
Safety hazard
Sorting benches
Please select
Good, clean condition
Cleaning required
Source of contamination
Source of linen damage
Safety hazard
Add field
Product requirements
Order code
Pack size
PAR level
Stock take
Suggested order
Product
Product name
Builder HP
Bleach Plus
Detergent HP
Emulsifier HP
Oxy Bleach LT
Oxy Bleach
Sour Softener
Sour Conditioner HP
Sulphuric Acid
Order code
Pack size
PAR level
Stock take
Suggested order
Product
Product name
Builder HP
Bleach Plus
Detergent HP
Emulsifier HP
Oxy Bleach LT
Oxy Bleach
Sour Softener
Sour Conditioner HP
Sulphuric Acid
Order code
Pack size
PAR level
Stock take
Suggested order
Product
Product name
Builder HP
Bleach Plus
Detergent HP
Emulsifier HP
Oxy Bleach LT
Oxy Bleach
Sour Softener
Sour Conditioner HP
Sulphuric Acid
Order code
Pack size
PAR level
Stock take
Suggested order
Add Product
General Comments / Follow Up
Project work
Yes
No
Project type
EMPA wash quality assessment
Validation of disinfection standards
Complete AS4146:2000 validation
Water and energy audit
Productivity analysis
Linen degradation testing
Dispenser upgrade
Wash program calibration
New installation/setup
Innovation deployment
Other
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
+
Full name
Contact number