Ablution Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Which ablution facility is being inspected?

Water & Plumbing

• Does the ablution facility have sufficient water supply?

  Yes

  No

  N/A

• Inform maintenance of defect.

• Is the plumbing in working condition?

  Yes

  No

  N/A

• Inform maintenance of defect.

• Is the ablution housekeeping in good condition?

  Yes

  No

  N/A

• Inform ACS to clean ablution facility.

Structural

• Is the walls in a good condition?

  Yes

  No

  N/A

• Is the floors in a good condition?

  Yes

  No

  N/A

• Is the windows in a good condition?

  Yes

  No

  N/A

• Are all doors in a working condition?

  Yes

  No

  N/A

• Are all toilet doors in a working condition

  Yes

  No

  N/A

• What is the condition of ablution toilets?

  Good

  Fair

  Poor

  N/A

• What is the condition of ablution wash basins?

  Good

  Fair

  Poor

  N/A

• What is the condition of ablution Urinals?

  Good

  Fair

  Poor

  N/A

• What is the condition of the ablution showers?

  Good

  Fair

  Poor

  N/A

• Are all lights in a working condition?

  Yes

  No

  N/A

• Inform maintenance of the defect.

Hygiene

• Are the soap and sanitizer dispensers filled?

  Yes

  No

  N/A

• Inform ACS of the defect.

• Does all toilet cubicals have toilet paper?

  Yes

  No

  N/A

• Inform ACS of the defect.

• Does the ablution facility have female sanitary bins available?

  Yes

  No

  N/A

• Inform ACS of the defect.

• Are food kept in lockers?

  Yes

  No

  N/A