Rev. 07/26/12
SWEEPING CORPORATION OF AMERICA, INC.
P.O. BOX 40348
NASHVILLE, TN 37204-0348
PHONE: 615-385-4422 | FAX: 615-385-4798

STREET SWEEPING QUESTIONNAIRE
City or other Entity Name
Address (Street & P.O.Box)
City State Zip
Contact Title Phone

Miles swept weekly:
  Monday Day Night                      
  Tuesday Day Night                      
  Wednesday Day Night                      
  Thursday Day Night                      
  Friday Day Night                      
  Saturday Day Night                      
  Sunday Day Night                      
  Weekly Total                          
 
Sweeper Operator Hours worked weekly, include productive & non-productive:
  Monday Day Night                      
  Tuesday Day Night                      
  Wednesday Day Night                      
  Thursday Day Night                      
  Friday Day Night                      
  Saturday Day Night                      
  Sunday Day Night                      
  Weekly Total                          

  List your sweepers here
  Sweeper Manufacturer Year Model Orig. Purch. Price Purch. Date
1.
2.
3.
4.

  Sweeper(s) Chasis Odometer Miles | Chasis Operating Hrs |
Sweeper Auxilary Motor
Operating Hours
1.
2.
3.
4.

Total Sweeper Fuel Costs Monthly
# of gallons fuel X cost per gallon = $

Sweeper Insurance Cost (monthly)
ASSET $ each
LIABILITY $ each

Sweeper Maintenance Cost for Parts Only
TOTAL $

Tires Total Cost for Sweepers Monthly
TOTAL $

Labor Cost Weekly
  Reg Hours X Hourly Wage   Total   OT Hours X Hourly Wage   Total
Driver 1 X =$   X =$
Driver 2 X =$   X =$
Driver 3 X =$   X =$
Mechanic X =$   X =$
Mech. Helper X =$   X =$
Office Staff X =$   X =$
Assistant Mgr X =$   X =$
Manager Weekly Salary =$            
Subtotal Regular Hours =$   Subtotal O.T. Hours =$
Grand Total Labor =$            
Benefits %            
Grand Total Labor X Benefits =$  
(The above includes all taxes, insurance, vacations, sick pay, holidays, annual leave, retirement plan, etc.)

Disposal Fee for sweeper debris monthly
  Tons/Yard X cost per Ton/Yar $ =$    

Office Telephone (monthly)
  % allocated to sweeping X Total =$  

Mobile Phone/Radio cost for sweeprs only monthly
  # of units X cost each =$

UNIFORMS (monthly)
  # Employees X Cost Per Month =$  

OFFICE SUPPLIES (monthly)
  % Allocation of Total =$      

Supervisors Vehicle Year Model Orig. Purch. Price Purch. Date

  % Allocated to Sweeping X Monthly Amrtztn. $ =$    

UTILITIES (monthly)
  Water $
  Electric $

Do you operate your sweeper during leaf season? Yes   No
Do you have a leaf machine or other leaf collection program? Yes   No
Do you have a storm drain and pipe cleaning program? Yes   No
If so, is it provided on demand? Yes   No
Are you satisfied with you sweeping maintenance program? Yes   No