Office location

Bathroom gender


Is the bathroom in order ?


If the answer is no, show 3b

3b) what issues did you find? (Select all that apply)

Not clean
Supplies missing (eg. Toilet paper)
Repairs required

Signature of auditor

Date of inspection

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.