Christopher Sauter

FREDERICK Restroom Template

Restroom

Use this Template

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Use this Template

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Title Page

Site conducted
Location
Conducted on
Prepared by

Has the restroom been disinfected within the last 2 hours during operating hours?
High dust cleaning procedure completed?
How many days does the air freshener showing on the screen?
What is the air freshener battery percentage?
Are the walls cleaned?
Toilets has been cleaned and disinfected?
Urinal has been cleaned and disinfected?
Stall door and partitions are cleaned? Free of stains?
Is the mirror clean? Streak free?
Is the sink clean? Without debris?
What is the current hand-soap level?
Hand paper towels properly stocked?
Waste has been removed / Replaced with new liner?
Floor has been dusted and mopped? Baseboards cleaned?
Any Deficiency?

Christopher Sauter

FREDERICK Restroom Template

Restroom

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.