Bath Slip Investigation

• Site

• Conducted on

  Date

• Prepared by

• Conducted with

• Attendance requested by

• Date request made

  Date

Information about the guest and incident

• Name of guest

• Date of incident

  Date

• Accident report form completed by

• Select date

  Date

• Brief description of accident report form description of accident

• Did guest get a receipt at check in?

  Yes

  No

  N/A

• Does receipt mention availability of bath mats at reception?

  Yes

  No

  N/A

• Add media

  Media

Information about the hotel and guest's room

• Age of hotel

• Number of rooms

• Number of floors

• Has hotel had a refurbishment?

  Yes

  No

  N/A

• How long ago?

• Was bath in guests room included?

  Yes

  No

  N/A

• Guest's room number

• Location of guest's room (description) and type e.g. Standard, UA

• Picture of room

  Media

Information about the bath room and bath within the guests room

• Condition of bathroom and flooring?

  Excellent

  Good

  Notable

• Description of flooring type

• Picture of bathroom

  Media

• Approx. Age of bath?

• Bath condition

  Excellent

  Good

  Notable

• Does bath have I built grab rails?

  Yes

  No

  N/A

• If yes, where?

• Towel bath mat available to stand on when exiting bath?

  Yes

  No

  N/A

• Pictures of bath to show location grab rails and towel bath mat

  Media

• Is shower head adjustable for angle?

  Yes

  No

  N/A

• Description of anti-slip coating within bath and coverage e.g. Circles in a circle approx. 1/3 of bath floor surface

• Condition and performance of anti-slip coating when dry

  Excellent

  Good

  Notable

• Condition and performance of anti-slip coating when wet

  Yes

  No

  N/A

• Picture of anti slip surface as is

  Media

• Picture of anti slip impression on paper in place in bath

  Media

• Title of anti-slip impression

• Description of any nonstandard features within the bathroom e.g. Fixed shower screen, half bath

• Picture of any non standard features

  Media

Information about the cleaning of the guests room prior to the incident

• Was room cleaned by housekeeping prior to guest check in?

  Yes

  No

  N/A

• Picture of guest room cleaning confirmation

  Media

• Who cleaned the room prior to guest check in ( full name - title)

• Is bath cleaned as per policy?

  Yes

  No

  N/A

• Who advised this (full name - title)

• Is there evidence of above named persons training in how to clean baths?

  Yes

  No

  N/A

• Picture of training record if available

  Media

• Who checked the room prior to guest check in ( full name - title)

• Who dilutes the BathCare 61 ready for use?

  Housekeeper

  Supervisor/Manager

  Other

• If other, who?

Information about general customer service and guest communication

• Are bath mats available at reception upon request?

  Yes

  No

  N/A

• Who advised this (full name - title)

• Is there an 'Essentials Guide' leaflet available in the room and does it specifically state the availability of bath mats?

  Yes

  No

  N/A

• Picture of 'Essential Guide' in place in room

  Media

• Picture of specific text advising of bath mat availability

  Media

• Is there a 'Luggage Tag' info advisory hanging in the bathroom including advice on the availability of bath mats on request?

  Yes

  No

  N/A

• Picture of 'Luggage Tag' info advisory hanging location

  Media

• Picture of specific text advising of bath mat availability

  Media