All Restrooms

• Conducted on

  Date

• Prepared by

All Restrooms

• Restrooms name plate and divider is free of dust?

  Yes

  No

  N/A

• Vanity area free of dust and debris?

  Yes

  No

  N/A

• Mirrors streak free?

  Yes

  No

  N/A

• All soap is in working order?

  Yes

  No

  N/A

• All sinks in working order?

  Yes

  No

  N/A

• All sinks are clean?

  Yes

  No

  N/A

• All hand washing surfaces are dust and streak free?

  Yes

  No

  N/A

• All backsplash areas are dust free?

  Yes

  No

  N/A

• Frames of mirrors and art work are dust free?

  Yes

  No

  N/A

• All urinals are free of hair and stains?

  Yes

  No

  N/A

• All urinal dividers dust free and streak free?

  Yes

  No

  N/A

• All urinal backsplash dust free?

  Yes

  No

  N/A

• All toilets free of hair and stain?

  Yes

  No

  N/A

• All toilet dividers dust free and streak free?

  Yes

  No

  N/A

• All toilet backsplash dust free?

  Yes

  No

  N/A

• All toilet paper has been replenished and presentable?

  Yes

  No

  N/A

• All feminine products stocked?

  Yes

  No

  N/A

• All feminine product disposal areas emptied?

  Yes

  No

  N/A

• All stall doors free of dust?

  Yes

  No

  N/A

• Floor mopped and free of debris?

  Yes

  No

  N/A

• Paper towel dispenser re-stocked?

  Yes

  No

  N/A

• Paper towel dispenser polished?

  Yes

  No

  N/A

• Trash can emptied?

  Yes

  No

  N/A

• Trash can polished inside and outside?

  Yes

  No

  N/A

• All tissue paper re-stocked?

  Yes

  No

  N/A

• All tissue paper covered with brown cover?

  Yes

  No

  N/A