Facilities Inspection (Female Washrooms) - DEP

• Building Name

• Plot Number

• Location of Female Washroom

• Location
  Address

• Prepared by

• Conducted on

  Date

Washroom 01

• Overall Cleaning

  Good

  Fair

  Poor

  N/A

• Sanitaryware's (WC, Shattaf, Seat Cover etc..)

  Good

  Fair

  Poor

  N/A

• Cleaning Consumables (tissues, hand soap liquid, tissue roles etc.)

  Good

  Fair

  Poor

  N/A

• Tissue Dispenser

  Good

  Fair

  Poor

  N/A

• Housekeeping Checklist

  Good

  Fair

  Poor

  N/A

• Bins neat and clean, cleared - inside cubicles and common area

  Good

  Fair

  Poor

  N/A

• Lights, exhaust fan, switches etc..

  Good

  Fair

  Poor

  N/A

• Doors, Windows and ceilings

  Good

  Fair

  Poor

  N/A

• Any foul smells

  Yes

  No

  N/A

• Janitorial Room Arrangements

  Good

  Fair

  Poor

  N/A

Washroom 02

• Overall Cleaning

  Good

  Fair

  Poor

  N/A

• Sanitaryware's (WC, Shattaf, Seat Cover etc..)

  Good

  Fair

  Poor

  N/A

• Cleaning Consumables (tissues, hand soap liquid, tissue roles etc.)

  Good

  Fair

  Poor

  N/A

• Tissue Dispenser

  Good

  Fair

  Poor

  N/A

• Housekeeping Checklist

  Good

  Fair

  Poor

  N/A

• Bins neat and clean, cleared - inside cubicles and common area

  Good

  Fair

  Poor

  N/A

• Lights, exhaust fan, switches etc..

  Good

  Fair

  Poor

  N/A

• Doors, Windows and ceilings

  Good

  Fair

  Poor

  N/A

• Any foul smells

  Yes

  No

  N/A

• Janitorial Room Arrangements

  Good

  Fair

  Poor

  N/A

Any Other Comments

• Comment 01

  Yes

  No

  N/A

• Comment 02

  Yes

  No

  N/A

• Comment 03

  Yes

  No

  N/A

• Comment 04

  Yes

  No

  N/A

Washroom 03

• Overall Cleaning Conditions

  Good

  Fair

  Poor

  N/A

• Sanitaryware's (WC, Shattaf, Seat Cover etc..)

  Good

  Fair

  Poor

  N/A

• Cleaning Consumables (tissues, hand soap liquid, tissue roles etc.)

  Good

  Fair

  Poor

  N/A

• Tissue Dispenser

  Good

  Fair

  Poor

  N/A

• Housekeeping Checklist

  Good

  Fair

  Poor

  N/A

• Bins neat and clean, cleared - inside cubicles and common area

  Good

  Fair

  Poor

  N/A

• Lights, exhaust fan, switches etc.. - all working conditions

  Good

  Fair

  Poor

  N/A

• Doors and Windows

  Good

  Fair

  Poor

  N/A

• Any foul smells

  Yes

  No

  N/A

• Janitorial Room Arrangements

  Good

  Fair

  Poor

  N/A

• Inspector Name and Signature

  Sign