Information

  • Audit Title

  • Site

  • Location

  • Male or Female

  • Pupil or Staff

  • Conducted on

  • Prepared by

  • Name of Cleaner/s

  • Distribution

Inspected Area

Washroom

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

  • Floor

  • Walls

  • Partitions

  • Hand wash basins

  • Taps

  • Pipework under sink

  • Soap Dispensers

  • Mirrors

  • Hand Dryers

  • Hand towel dispensers

Urinals

  • Number of Urinals (Please state if single trough)

  • Urinals

  • Pipe work under Urinals

  • Urinal Cisterns

  • Floor directly underneath urinals

Cubicles

  • Number of cubicles

  • Internal Partition Surfaces

  • Toilet pans

  • Toilet Seats

  • Toilet Cistern

  • Pipework behind pan

  • Floor behind toilet pan

  • Back of door

  • Toilet Roll Holder

  • Feminine Hygiene Bin

Sign Off

  • Comments

  • Signature

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