Community Toilet Scheme Periodic Inspection

• Document No.

• Conducted on

  Date

• Prepared by

• Community Toilet Scheme Member:

  Select Costa Coffee - Haywards Heath Tory's Cafe - Haywards Heath Kings Leisure Centre - East Grinstead Chequer Mead Arts Centre - East Grinstead Poppins Restaurant - Burgess Hill

  • Costa Coffee - Haywards Heath
  • Tory's Cafe - Haywards Heath
  • Kings Leisure Centre - East Grinstead
  • Chequer Mead Arts Centre - East Grinstead
  • Poppins Restaurant - Burgess Hill
• Location
  Address

Premises

• Is the Community Toilet Scheme Window Sticker Displayed near front door and can be seen clearly from the outside?

  Yes

  No

• Are the toilets clearly signposted from inside the building?

  Yes

  No

• Are all aisles & walkways to toilets clear from obstructions?

  Yes

  No

Toilets

• Are toilet signs clearly displayed on each door?

  Yes

  No

• Can toilets be accessed without the use of a key?

  Yes

  No

• Are all toilet locks in working order?

  Yes

  No

• Are light switches working & free from damage?

  Yes

  No

  N/A

• Are all light Bulbs working?

  Yes

  No

• Are Toilets:

• Free from cracks or chips?

  Yes

  No

• Free from stains?

  Yes

  No

• Seat & Lid secure?

  Yes

  No

• Toilet roll holder secure?

  Yes

  No

• Is there adequate supplies of toilet roll?

  Yes

  No

• Are the toilets free from litter?

  Yes

  No

• Is the floor free from excess water?

  Yes

  No

• Is there a hand basin or Automatic hand washing machine?

  Hand Basin

  Automatic Hand Washing Machine

• Are all taps working correctly & without drips?

  Yes

  No

• Is the basin free from cracks or other damage?

  Yes

  No

• Is the basin free from stains?

  Yes

  No

• Is adequate amount of hand washing soap available?

  Yes

  No

• Is there a separate hand drying machine?

  Yes

  No

  N/A

• Does it work correctly?

  Yes

  No

• Is the water:

  To Hot

  To Cold

  Acceptable

• Is there soap available?

  Yes

  No

• Does hand drying function work correctly

  Yes

  No

• Is high level cleaning being carried out?

  Yes

  No

Disabled Toilet & Baby Change?

• Is there an alarm fitted?

  Yes

  No

  N/A

• Is there a separate baby change toilet or combined with disabled?

  Separate

  Combined

• Is the baby change unit in working order?

  Yes

  No

• Is it clean & free from damage?

  Yes

  No

Comments

• Any comments from Mangers or staff?

  Yes

  No

  N/A

• Comments Made:

Sign Off

• No other defects found at the time of inspection

• Signature of inspector

  Sign