GSA1181

Cleaning Inspection Report

Agency
GSA
Revision
Rev. February 1964
Fillable fields
228
Pages
2
Official source
GSA form page
Checked
October 20, 2026
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Page 1 of form GSA1181

GSA Form 1181: Cleaning Inspection Report

GSA Form 1181, Cleaning Inspection Report, is a General Services Administration (GSA) Public Buildings Service form, printed as GSA FORM 1181 FEB 64. GSA hosts it in its forms library, and GSA's page lists no authority or regulation for it.

The instructions on the back say the GSA Handbook of "Operation and Maintenance of Real Property" prescribes the use of this form to record on-site inspection of cleaning operations in GSA operated and in leased owner-serviced buildings.

The front lists services in categories A to I, items 1 to 48, and items 49 to 59 for condition or status, each rated on a scale of 1 to 5. The ratings add up to a total, and the form says the highest possible rating is 100. Conditions to be corrected are listed by item number with the date corrected and a signature. You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of GSA Form 1181: Cleaning Inspection Report, as printed by GSA

What's on GSA Form 1181

Header blocks

Region, area, field office, date of last report, date of this report, rating, building and address, and Inspected By (name and title).

Categories A to D

Outside work, entrance lobby and corridor cleaning, elevator and escalator cleaning, and floor care, items 1 to 21.

Categories E to I

Room cleaning, window cleaning, high cleaning, toilet room cleaning and stairway cleaning, items 22 to 48.

Items 49 to 59: condition or status

Insect and rodent control, paper and trash collection, utility work, custodial equipment, cleaning materials and supplies, employee training and supervision, foreman's schedules, reports and records, gear and storage rooms, locker rooms and safe work-practices.

Conditions to be corrected

Columns for item number, conditions to be corrected and remarks, and date corrected and signature, continued on the back.

Instructions and rating scale

The back explains how to total the rating, what each rating from 1 to 5 means, and where copies go.

How to complete GSA Form 1181

  1. 1

    Fill in the header

    Enter the region, area, field office, report dates, building and address, and the inspector's name and title.

  2. 2

    Rate the services

    Use the 1 thru 5 scale. The form says that when a building has no elevators or escalators, assign a rating of "5".

  3. 3

    Weigh the authorized level

    The form says to consider the current level of cleaning authorized for GSA operated buildings or requirements of the lease, and the elapsed time for periodic cleaning scheduled on GSA Form 1825, Periodic Building Cleaning Schedule.

  4. 4

    Total the rating

    Add the rating for each Service Category A thru I and each Item 49 thru 59, and record the total in the Rating block. The highest possible rating is 100.

  5. 5

    Note locations and corrections

    The form says to identify the floor or other locations inspected under remarks. Conditions to be corrected are listed by item number.

  6. 6

    Forward and file

    When corrections are required, a copy goes to the GSA foreman or the lessor's agent. Completed actions come back to the Buildings Manager and are filed in GSA Form 1183, Record of Building Inspection Reports.

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Rating scale and records

Rating scale

5: every phase of the operation is satisfactory. 4: the standard is met intermittently. 3: standards are maintained, with action required to increase quality. 2: considerably below requirements, immediate action necessary. 1: the operation is inadequate.

Where copies go

The form says to forward a copy of the report to the appropriate GSA foreman or the lessor's agent for action when corrections are required.

Where it is filed

Completed actions are returned to the Buildings Manager and filed with the original inspection report in GSA Form 1183, Record of Building Inspection Reports.

Authority

The form says the GSA Handbook of "Operation and Maintenance of Real Property" prescribes its use. GSA's page lists a current revision date of 01/1964 and no authority or regulation. The form prints no OMB number.

Related forms

Who uses GSA Form 1181?

  • The inspector

    The Inspected By block takes the inspector's name and title.

  • GSA foremen or the lessor's agent

    When corrections are required, the form says to forward a copy of the report to the appropriate GSA foreman or the lessor's agent for action.

  • The Buildings Manager

    The form says completed actions are to be returned to the Buildings Manager and filed with the original inspection report.

  • GSA operated and leased buildings

    The form covers cleaning operations in GSA operated and in leased owner-serviced buildings.

The instructions on the back describe who inspects, corrects and files the report.

Official sources and the blank

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Questions about Form GSA1181

Who issues GSA Form 1181?

The header reads GENERAL SERVICES ADMINISTRATION, PUBLIC BUILDINGS SERVICE, and the footer GSA FORM 1181 FEB 64. GSA hosts it in its forms library.

How is the total rating worked out?

The form says to add the rating assigned to each Service Category A thru I and to each Item 49 thru 59, and record the total in the Rating block. The highest possible rating is 100.

What do the ratings 1 to 5 mean?

The form says 5 means every phase of the operation is satisfactory and 1 means the operation is inadequate, with 4, 3 and 2 describing standards met intermittently, maintained, or considerably below requirements.

What if the building has no elevators or escalators?

The form says to assign a rating of "5" when a building has no elevators or escalators.

What happens when corrections are needed?

The form says to forward a copy to the appropriate GSA foreman or the lessor's agent for action. Completed actions are returned to the Buildings Manager and filed in GSA Form 1183.

Which other GSA forms does it mention?

GSA Form 1825, Periodic Building Cleaning Schedule, and GSA Form 1183, Record of Building Inspection Reports.