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The Kitchen Cleaning Report form is a crucial tool for ensuring the safety and efficiency of kitchen exhaust systems. This form documentation verifies inspections and cleanings of exhaust hoods, covering essential areas such as property details, inspection dates, and owner contact information. It assesses system types, fuel sources, and cooking volumes, while also addressing the operational status of components like fans, filters, and ducts. Critical measurements, such as grease build-up, ensure compliance and operational efficiency. The form requires detailed information on the exhaust system’s accessibility and cleaning frequency, facilitating routine maintenance to prevent fire hazards. Proper submission of this report is mandatory for compliance with the Vancouver Municipal Code 16.04. This regulation stipulates that kitchen cleaning contractors must submit their inspection and cleaning reports to the Vancouver Fire Marshal’s Office within a strict timeframe, with severe penalties for non-compliance. Additionally, records must be retained on-site for six years, emphasizing the ongoing commitment to safety and adherence to standards in commercial kitchens.

Kitchen Cleaning Report Example

Kitchen Exhaust Systems Cleaning Report

Property Inspected_________________________________________ Date of Inspection:_______________________

PropertyAddress:_________________________________________________________________________________

Owner:___________________________________________Phone:_________________________________________

Multiple Hoods:

Yes No

Name/location of hood: ___________________________________

Appliances

 

 

 

 

Main Fuel Type:

Natural Gas

Electric

Solid Fuel

 

Cooking Volume:

Very High

High

Medium

Low

Main Cooking Style:

Deep Fat Frying

Asian

Griddle

Char Broiling

Other:__________________

Does exhaust hood capture all heat and cooking effluent?

Yes

No

Exhaust System

 

 

 

Hood Type:

Modular Extractor

Water wash

Filter

Other:__________________

Fan Type:

Upblast

Other:__________________ Fan Termination: Wall Roof

Duct Type: Type I (grease) Type II (steam, vapor, heat, odors)

Rooftop grease containment system

Number of floors of system:_________

Feet of Horizontal Duct:__________

 

None

Acceptable 50 microns

Cleaning Required

2000 microns

Critical Depth 3175 microns

Grease build-up on filters

Grease build-up in hood

Grease build-up in ductwork

Grease build-up on fan

Grease build-up of roof

 

 

 

 

Yes

No

NA

 

 

Yes

 

 

No

 

 

NA

Entire system interior accessible?

 

 

 

 

Fan tippable or interior accessible?

 

 

 

 

Adequate access panels?

 

 

 

 

Fan is working properly?

 

 

 

 

Filters conforming and in place?

 

 

 

 

Is fan wiring defect free?

 

 

 

 

Water wash hood operational?

 

 

 

 

Roof around fan is free of grease build-up?

 

 

 

 

Hood Damper operates properly?

 

 

 

 

System is liquid tight?

 

 

 

 

Dangerous non-conforming access?

 

 

 

 

Entire system clean to applicable codes?

 

 

 

 

Recommended Cleaning Frequency: _______times per year.

Next Cleaning Date:_______________________

Inaccessible areas exist in this system?

Yes

 

 

No (Areas not inspected are listed in comments.)

 

Summary

Name of Cleaning Company:______________________________ Vancouver Endorsement # ____________________

Comments:_______________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

Photos or additional information attached? ______________________________________________________________

Technician Name:__________________________________________ Endorsement #___________________________

Signature:________________________________________________ Contact Number: ________________________

Vancouver Municipal Code 16.04 requires all hood cleaning contractors working within the City of Vancouver to submit hood inspection, cleaning and maintenance reports to the Vancouver Fire Marshal’s Office within 30 days of the service. Contractors who fail to submit these documents can be subjected to monetary penalties and their endorsement to work within the City of Vancouver may be revoked.

VMC 16.04 also requires hood cleaning reports to be maintained on site for a minimum of six years.

12/21/2009

Form Characteristics

Fact Name Details
Purpose of the Form The Kitchen Exhaust Systems Cleaning Report is designed to document the inspection and cleaning of kitchen exhaust systems to ensure safety and compliance with health standards.
Property Information The form requires specific property details, including the name of the property, date of inspection, and owner’s contact information, ensuring proper tracking and accountability.
Inspection Components Key inspection areas include fan type, duct type, and grease build-up levels. These components assess the effectiveness and safety of the exhaust system.
Regulatory Compliance According to Vancouver Municipal Code 16.04, hood cleaning contractors must submit inspection reports within 30 days and maintain records on-site for at least six years.
Consequences for Non-Compliance Failure to submit the required reports can lead to monetary penalties and possible revocation of the contractor's endorsement to operate within the City of Vancouver.

Guidelines on Utilizing Kitchen Cleaning Report

Completing the Kitchen Cleaning Report form involves gathering specific information about the kitchen exhaust system and its condition. This form is essential for compliance and ensuring the proper maintenance of kitchen systems. Follow these steps to accurately fill out the form.

  1. Begin by entering the Property Inspected at the top of the form.
  2. Input the Date of Inspection next to the corresponding label.
  3. Write the complete Property Address in the designated space.
  4. Fill in the Owner name and their Phone number.
  5. Indicate whether there are Multiple Hoods by marking "Yes" or "No."
  6. List the Name/location of hood if applicable.
  7. Specify the Main Fuel Type by marking one of the options: Natural Gas, Electric, or Solid Fuel.
  8. Choose the appropriate Cooking Volume level: Very High, High, Medium, or Low.
  9. Identify the Main Cooking Style by selecting from options like Deep Fat Frying, Asian, Griddle, Char Broiling, or by writing another style.
  10. Determine whether the exhaust hood captures all heat and cooking effluent by marking “Yes” or “No.”
  11. Indicate the Exhaust System Hood Type: Modular Extractor, Water wash, Filter, or Other.
  12. Specify the Fan Type by marking either Upblast or Other.
  13. Choose the Fan Termination location: Wall or Roof.
  14. Identify the Duct Type: Type I (grease) or Type II (steam, vapor, heat, odors).
  15. Input the Number of floors of system and the Feet of Horizontal Duct.
  16. Provide grease buildup measurements for filters, hood, ductwork, fan, and roof, marking “Yes,” “No,” or “N/A” as applicable.
  17. Assess if the Entire system interior accessible and if the Fan tippable or interior accessible.
  18. Check whether there are Adequate access panels and if the Fan is working properly.
  19. Confirm if Filters conforming and in place and if Fan wiring is defect free.
  20. Mark the status of the Water wash hood and check if the Roof around fan is free of grease build-up.
  21. Ensure that the Hood Damper operates properly and that the System is liquid tight.
  22. Report whether there are Dangerous non-conforming access points and if the Entire system clean to applicable codes.
  23. State the Recommended Cleaning Frequency and the Next Cleaning Date.
  24. Indicate whether Inaccessible areas exist in this system with “Yes” or “No.”
  25. Complete the Name of Cleaning Company and Endorsement # sections.
  26. Fill in any Comments that may be pertinent to the inspection.
  27. Attach any Photos or additional information, if available.
  28. Finally, enter the Technician Name, Endorsement #, Signature, and Contact Number.

What You Should Know About This Form

What is the purpose of the Kitchen Cleaning Report form?

The Kitchen Cleaning Report form serves to document the inspection and cleaning of kitchen exhaust systems. It provides essential information about the condition of the system, the cleaning performed, and the safety measures taken. This report helps ensure compliance with local regulations and maintains a safe cooking environment.

Who needs to fill out the Kitchen Cleaning Report?

A qualified hood cleaning contractor must complete the Kitchen Cleaning Report after performing an inspection and cleaning of the exhaust system. This ensures that the contractor is aware of the system's current condition and any necessary maintenance actions.

What information is required on the form?

The form requires details such as the property address, owner's contact information, inspection date, type of kitchen appliances, and the cleaning company's name. Additionally, it needs to document the condition of various components of the exhaust system, including grease buildup levels and accessibility for cleaning.

How often should kitchen exhaust systems be cleaned?

The recommended cleaning frequency is based on the type of cooking done, as indicated on the form. Factors such as cooking volume and style influence how often the system requires cleaning. The contractor will provide a specific number of times per year for cleaning in the report.

What happens if a contractor fails to submit the report?

If a contractor does not submit the Kitchen Cleaning Report within 30 days of service, they may face monetary penalties. Additionally, their endorsement to work within the City of Vancouver may be revoked, impacting their ability to provide cleaning services in the area.

Are there any storage requirements for the report?

Yes, the Vancouver Municipal Code requires that hood cleaning reports be maintained on-site for a minimum of six years. This allows for easy access and verification of the cleaning and inspection history for the exhaust system.

What types of issues are noted on the report?

The report includes sections to document grease buildup on various system components, such as filters, hoods, and ductwork. Additionally, it notes whether the entire system is accessible for cleaning and if there are any dangerous non-conforming access issues present.

What should be done if there are inaccessible areas in the system?

If there are inaccessible areas, these should be clearly noted in the comments section of the report. A qualified contractor should follow up to address the accessibility issues as necessary, ensuring that all parts of the exhaust system can receive proper cleaning and maintenance.

Common mistakes

When completing the Kitchen Cleaning Report form, individuals often make several key mistakes that can lead to issues in compliance and documentation. One common error is failing to provide complete information in the Property Inspected section. It is essential to detail the property accurately, as incomplete information could delay future inspections and violate safety regulations.

Another mistake frequently encountered is neglecting to indicate the Date of Inspection. Each report must be dated to establish a timeline for the inspection and maintenance of the kitchen exhaust systems. Missing this date can result in confusion regarding the last servicing and compliance with local ordinances.

People also often mistakenly select multiple options without clarifying the specifics. For instance, when indicating the Main Cooking Style, it is vital to choose one primary style rather than attaching multiple labels. This helps in accurately assessing the cleaning methods needed and ensures compliance with relevant standards.

In addition, individuals may overlook the section that asks if the exhaust hood effectively captures all heat and cooking effluent. Answering this question is crucial, as it affects the overall safety of the kitchen area. Responding inaccurately could lead to hazardous situations, compromising fire safety.

Another frequent issue involves the failure to check if the entire system's interior is accessible. Marking this as “Yes” when it is not can result in incomplete cleaning and, subsequently, serious health and safety risks. It is imperative to provide truthful answers to ensure thorough and safe operations.

Many people forget to document the Next Cleaning Date. This oversight can lead to missed cleaning schedules, which may result in excessive grease build-up and potentially hazardous conditions. Establishing a follow-up date is fundamental to maintaining compliance with the Vancouver Municipal Code.

Finally, individuals may fail to include comments about any inaccessible areas or additional issues discovered during the inspection. This information is crucial for future reference and for technicians to address potential problems effectively. Clear and open documentation can significantly contribute to maintaining a safe and compliant kitchen environment.

Documents used along the form

The Kitchen Cleaning Report form is essential for documenting the condition and maintenance of kitchen exhaust systems. It ensures adherence to safety standards and codes, particularly in the case of commercial kitchens. Often, other documents accompany this report to provide a comprehensive overview of kitchen maintenance and safety compliance. Below are some related forms you may encounter.

  • Maintenance Log: This form tracks regular maintenance activities, including cleaning schedules, repairs, and routine inspections. It provides a chronological record of what has been done and when, which can help identify patterns, service timelines, and upcoming maintenance needs.
  • Equipment Inspection Report: An outline of inspections performed on specific kitchen equipment. The report details the condition, functionality, and safety of appliances, ensuring they meet operational standards and regulations.
  • Service Agreement: A contract between the kitchen owner and the cleaning company outlining the scope of services, responsibilities, and terms of service. This document helps define expectations and protects the interests of both parties.
  • Compliance Certificate: A document certifying that the kitchen meets local fire and safety codes. This form can be required by health inspectors and is critical for legal compliance and safe operations.
  • Incident Report Form: In the event of an accident or unsafe condition during the cleaning process, this form is used to record details about the incident. Capturing this information can help in improving safety protocols and procedures.
  • Inventory Checklist: A list of cleaning supplies and equipment used during the cleaning process. This helps maintain adequate stock levels and ensures that only compliant and safe cleaning agents are used.

Each of these forms serves a specific purpose, contributing to the overall safety and maintenance of the kitchen environment. Keeping accurate records not only meets regulatory requirements but also promotes a culture of safety and preparedness. Proper documentation is a key factor in preventing incidents and ensuring compliance.

Similar forms

  • Property Inspection Report: Similar to the Kitchen Cleaning Report, this document outlines the details of an inspection conducted on a property to assess its overall condition. It includes information about the property, the date of inspection, and the inspector's findings.

  • Maintenance Record: A maintenance record documents routine maintenance services performed on equipment or facilities. Like the Kitchen Cleaning Report, it specifies what was inspected, any issues found, and recommended follow-up actions.

  • Compliance Report: This report verifies that specific standards or regulations have been met. Features such as date, location, and compliance status are common to both documents, ensuring adherence to safety and functionality requirements.

  • Hazard Assessment Form: A hazard assessment form identifies potential safety risks within a facility. Similar to the Kitchen Cleaning Report, it involves a review of conditions and provides recommendations for improvements or safety measures.

  • Service Agreement: A service agreement outlines the terms of service between a provider and a client. This document shares similarities with the Kitchen Cleaning Report in that it details specific services provided, along with a schedule for future maintenance.

  • Incident Report: An incident report records any accidents or unusual occurrences that take place within the facility. Both documents complement each other by identifying issues, detailing observations, and recommending actions to prevent future incidents.

Dos and Don'ts

Things to Do:

  • Complete all sections of the Kitchen Cleaning Report form accurately.
  • Ensure the property address is clearly written and complete.
  • Indicate whether multiple hoods are present and provide their names or locations.
  • Clarify the main fuel type and cooking volume in the appropriate sections.
  • Check off responses thoroughly, ensuring you answer questions regarding the condition and accessibility of the exhaust system.
  • Document any inaccessible areas and the reason for their exclusion from inspection.
  • Retain a copy of the submitted report for your records, as required by local regulations.

Things to Avoid:

  • Do not leave any sections of the report blank unless they are not applicable.
  • Avoid using unclear abbreviations or shorthand when filling out the report.
  • Refrain from submitting the report later than the 30-day requirement imposed by the Vancouver Municipal Code.
  • Do not ignore the condition of fans, filters, or ducts; ensure all details are noted accurately.
  • Do not forget to include your name, signature, and contact number at the end of the report.
  • Avoid altering information after the report has been submitted; if changes are necessary, provide an updated report.
  • Do not disregard comments and recommendations; they are crucial for future inspections.

Misconceptions

Misconceptions about the Kitchen Cleaning Report form can lead to misunderstandings regarding its purpose and requirements. Below are some common misconceptions and clarifications:

  • The form is not required for all kitchens. Many believe that the report is only necessary for commercial kitchens. In fact, any kitchen that uses an exhaust system may need to file this report, especially if local regulations mandate it.
  • Only professional cleaners can fill out the form. While it's common for cleaning companies to complete the report, business owners or kitchen managers can also fill it out, as long as they have the correct inspection information.
  • The report is only a checklist. Some may view the report as merely a checklist. However, it serves a vital role in documenting the condition of the kitchen and ensuring compliance with safety regulations.
  • Filing the report guarantees a safe kitchen. Completing the form does not automatically ensure kitchen safety. Regular maintenance and inspections must be performed to maintain a safe cooking environment.
  • There are no penalties for late submissions. Many assume that filing the report late is not a serious issue. However, failing to submit it within the required timeframe can lead to monetary penalties or loss of cleaning endorsement.
  • All grease buildup is addressed in the report. Some believe that the report will cover all grease buildup. However, it only accounts for what is visible or accessible at the time of inspection. Hidden areas may still require attention.
  • Retention of the report for six years is optional. Many think that keeping the report is not crucial. On the contrary, it is a requirement to maintain records on-site for at least six years as per local codes.

Key takeaways

When filling out the Kitchen Cleaning Report form, there are several key points to keep in mind to ensure compliance and thorough documentation.

  • Accurate Information: Clearly write the property details, such as the name, address, and owner's contact information. This ensures that there is no confusion regarding the property being inspected.
  • Inspection Date: Always include the date of inspection. This is crucial for tracking cleaning frequency and compliance with regulations.
  • Exhaust System Details: Specify the type of exhaust hood and fan used in the system. This information helps identify the cleaning requirements and methods suitable for the equipment.
  • Grease Build-Up Assessment: Carefully assess and document any grease accumulation in the filters, hoods, ductwork, and fans. This data is vital for understanding the system's condition and the urgency of cleaning.
  • Compliance with Codes: Ensure that the entire system is cleaned to meet applicable codes. Non-compliance can lead to penalties or operational issues.
  • Cleaning Recommendations: Provide a recommended cleaning frequency in the report. This helps maintain the exhaust system over time and ensures it operates safely.
  • Documentation Submission: Remember that any cleaning contractor must submit the report to the local fire marshal's office within 30 days. This is a legal requirement that should not be overlooked.

By staying organized and thorough while completing the Kitchen Cleaning Report form, compliance with local regulations can be ensured, and the safety of the kitchen environment can be maintained.