GSA1181A

Contract Cleaning Inspection Report

Agency
GSA
Revision
Rev. 12/1997
Fillable fields
264
Pages
2
Official source
GSA form page
Checked
October 20, 2026
Fill GSA1181A online
Page 1 of form GSA1181A

GSA Form 1181A: Contract Cleaning Inspection Report

GSA Form 1181A, Contract Cleaning Inspection Report, is a General Services Administration form, Rev. 12/1997. Its footer says it is prescribed by the Custodial Management Desk Guide, and GSA's page lists PBS P 5810.2B as its authority. GSA hosts it in its forms library.

The form's instructions say it is used for inspection of contract cleaning by inspectors to record results. The condition of each area inspected is rated SATISFACTORY or UNSATISFACTORY, and an unsatisfactory rating is explained in the remarks column with the quantity column completed.

The form has a header for the building, report number, contract number, inspector and inspection times, followed by a table of work descriptions that continues on a second page. 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 1181A: Contract Cleaning Inspection Report, as printed by GSA

What's on GSA Form 1181A

Building, report and contract

The BUILDING, REPORT NO. and CONTRACT NO. blocks at the top of the first page.

Inspector and inspection times

The inspector's printed name and signature, TIME STARTED, TIME COMPLETED and DATE OF INSPECTION.

Interview and contractor's receipt

INTERVIEWED BY with a date, and CONTRACTOR'S RECEIPT with a time and a date.

Work description and location

Each row of the table names the work and its location, which the form describes as Room No., Corridor, Lobby or either.

Quantity and rating

A QUANTITY column, by measure or count, and a CHECK ONE pair of columns marked SAT. and UNSAT.

Remarks

A REMARKS column on each row. The second page repeats the same table with the same columns.

How to complete GSA Form 1181A

  1. 1

    Fill in the header

    Enter the building, the report number and the contract number at the top of the form.

  2. 2

    Record the inspection times

    Enter the time started, the time completed and the date of inspection.

  3. 3

    List each area inspected

    On each row, describe the work and its location, such as a room number, corridor or lobby.

  4. 4

    Rate each area

    The instructions say the condition of each area is rated SATISFACTORY or UNSATISFACTORY. Check SAT. or UNSAT. on its row.

  5. 5

    Explain unsatisfactory ratings

    The instructions say to explain an unsatisfactory rating in the remarks column and complete the quantity column.

  6. 6

    Sign and record receipt

    The inspector prints a name and signs. The interview and the contractor's receipt each have their own blocks with dates.

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Routing and what the form says

Where it goes

The PDF gives no filing address. Its only routing block is the CONTRACTOR'S RECEIPT, with a time and a date.

Authority

GSA's page lists PBS P 5810.2B as the authority or regulation. The footer says the form is prescribed by the Custodial Management Desk Guide.

Pages

The PDF has two pages. The second page continues the work description, quantity, rating and remarks table.

Notices

The PDF prints no Privacy Act notice, OMB number or burden estimate.

Related forms

Who uses GSA Form 1181A?

  • Contract cleaning inspectors

    The instructions say inspectors use the form to record the results of their inspection of contract cleaning.

  • The inspector's name and signature

    The inspector prints a name in the INSPECTOR block and signs in the INSPECTOR'S SIGNATURE block of the header.

  • The person interviewed

    An INTERVIEWED BY block with its own date records who was interviewed. The form does not say who that person is.

  • The cleaning contractor

    A CONTRACTOR'S RECEIPT block, with a time and a date, records the contractor's receipt of the report.

The form's instructions and header blocks name these people.

Official sources and the blank

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Questions about Form GSA1181A

Who issues GSA Form 1181A?

The form is printed as a General Services Administration form, Rev. 12/1997, prescribed by the Custodial Management Desk Guide. GSA's page lists PBS P 5810.2B as its authority.

What does GSA Form 1181A rate?

The instructions say the condition of each area inspected is rated SATISFACTORY or UNSATISFACTORY. Each row has a SAT. and an UNSAT. column.

What goes in the remarks column?

The instructions say to explain an unsatisfactory rating in the remarks column and to complete the quantity column, by measure or count.

Does the contractor sign the report?

The form has a CONTRACTOR'S RECEIPT block with a time and a date. It does not describe that block further.

How is it different from GSA Form 1181B?

GSA Form 1181B, Contract Cleaning Inspection Assignment, is the form its instructions say supervisors use to make assignments to contract inspectors. GSA Form 1181A records the inspection results.