Title Page

  • Conducted on

  • Prepared by

  • Location

Checklist

General

  • Use approved COVID-19 Health Canada (Public Health guidelines) disinfectants & cleaners

  • Soap dispensers

  • Door handles

  • Sink faucets

  • Bathroom fixtures (including handles)

  • Coat hooks

  • Baby changing tables

  • Paper Towel dispensers

  • Toilet flushers

  • Waste paper basket

  • Check & Replenish Bathroom Supplies

  • Sanitizing Soap (for dispenser)

  • Paper Towels <br>

  • Hand Sanitizer

  • Disposable Feminine Hygiene products

Sign Off

  • Additional Notes

  • Name and Signature

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