Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • 卫生间评估地点

入口

  • 是否有免洗手消毒机

  • 是否有服务模式地垫

  • 入口气流是否负压

主范围

  • 无异味

  • 地上不潮湿

隔间范围

  • 回风口运作正常

  • 马桶无尿垢

  • 马桶冲水压适当

  • 无异味

  • 是否有脚踏垃圾桶

  • 地上不潮湿

  • 是否有卫生纸

  • 是否有女士卫生箱(女卫生隔间)

  • 是否有侧板消毒机

  • 是否有冲水消毒机

尿斗范围(男卫生间)

  • 回风口运作正常

  • 尿斗无尿垢

  • 尿斗冲水压适当

  • 无异味

  • 地上不潮湿

  • 是否有尿斗消毒机

  • 尿斗过滤塞无尿垢

洗手盆范围

  • 龙头水压适当

  • 是否有脚踏垃圾桶

  • 是否有洗手液

  • 是否有干手机或干手纸

  • 干手机/纸离洗手盆距离恰当

  • 是否有服务式地垫

  • 无异味

  • 地上不潮湿

  • 请总结“是”- 高污染风险 <10 中污染风险 11 to 22 低污染风险 23 to 32

  • 能多洁服务以及产品建议点

  • 建议客户调整设施点

  • 能多洁勘察员

  • 客户伴随

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.