Facilities Audit

• Audit Title

• Site

  MFD

  MPS

• Location

• Male or Female

  Male

  Female

• Pupil or Staff

  Staff

  Pupil

• Conducted on

  Date

• Prepared by

• Name of Cleaner/s

• Distribution

  Select Facilities Manager Operations Manager Head of Department Cleaner Supervisor

  • Facilities Manager
  • Operations Manager
  • Head of Department
  • Cleaner
  • Supervisor

Washroom

• General Odour - 0 = Very Unpleasant. 10 = Pleasant or No Odour

• Floor

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Partitions

  Yes

  No

  N/A

• Hand wash basins

  Yes

  No

  N/A

• Taps

  Yes

  No

  N/A

• Pipework under sink

  Yes

  No

  N/A

• Soap Dispensers

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Hand Dryers

  Yes

  No

  N/A

• Hand towel dispensers

  Yes

  No

  N/A

Urinals

• Number of Urinals (Please state if single trough)

• Urinals

  Yes

  No

  N/A

• Pipe work under Urinals

  Yes

  No

  N/A

• Urinal Cisterns

  Yes

  No

  N/A

• Floor directly underneath urinals

  Yes

  No

  N/A

Cubicles

• Number of cubicles

• Internal Partition Surfaces

  Yes

  No

  N/A

• Toilet pans

  Yes

  No

  N/A

• Toilet Seats

  Yes

  No

  N/A

• Toilet Cistern

  Yes

  No

  N/A

• Pipework behind pan

  Yes

  No

  N/A

• Floor behind toilet pan

  Yes

  No

  N/A

• Back of door

  Yes

  No

  N/A

• Toilet Roll Holder

  Yes

  No

  N/A

• Feminine Hygiene Bin

  Yes

  No

  N/A

• Comments

• Signature

  Sign