FRHM Weekly Checklist - Public Restroom 2F

• Date Submitted

  Date

• Submitted by

• Date

  Date

• Name of Public Area Attendant

• Signature of Public Area Attendant

  Sign

• Name of Public Area Manager

• Signature of Public Area Manager

  Sign

Time: 0600H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 0800H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1200H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1400H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1600H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1800H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 2000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 2200H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 0000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

• Date

  Date

• Name of Public Area Attendant

• Signature of Public Area Attendant

  Sign

• Name of Public Area Manager

• Signature of Public Area Manager

  Sign

Time: 0600H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 0800H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1200H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1400H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1600H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1800H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 2000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 2200H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 0000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

• Date

  Date

• Name of Public Area Attendant

• Signature of Public Area Attendant

  Sign

• Name of Public Area Manager

• Signature of Public Area Manager

  Sign

Time: 0600H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 0800H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1200H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1400H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1600H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1800H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 2000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 2200H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 0000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

• Date

  Date

• Name of Public Area Attendant

• Signature of Public Area Attendant

  Sign

• Name of Public Area Manager

• Signature of Public Area Manager

  Sign

Time: 0600H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 0800H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1200H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1400H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1600H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1800H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 2000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 2200H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 0000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

• Date

  Date

• Name of Public Area Attendant

• Signature of Public Area Attendant

  Sign

• Name of Public Area Manager

• Signature of Public Area Manager

  Sign

Time: 0600H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 0800H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1200H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1400H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1600H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1800H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 2000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 2200H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 0000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

• Date

  Date

• Name of Public Area Attendant

• Signature of Public Area Attendant

  Sign

• Name of Public Area Manager

• Signature of Public Area Manager

  Sign

Time: 0600H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 0800H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1200H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1400H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1600H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1800H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 2000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 2200H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 0000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

• Date

  Date

• Name of Public Area Attendant

• Signature of Public Area Attendant

  Sign

• Name of Public Area Manager

• Signature of Public Area Manager

  Sign

Time: 0600H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 0800H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1200H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1400H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1600H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 1800H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

Time: 2000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A

• Shower Area (if any)

  Yes

  No

  N/A

Time: 0000H

• Door Handles

  Yes

  No

  N/A

• Hand Contact Area: Paper Towel Dispenser

  Yes

  No

  N/A

• Soap & Sanitizer Dispenser (loaded, in good order, clean)

  Yes

  No

  N/A

• Switches

  Yes

  No

  N/A

• Toilet Seat, Flush, Splash Wall

  Yes

  No

  N/A

• Trash Bins

  Yes

  No

  N/A

• Water Taps

  Yes

  No

  N/A

• Urinal, Partitions and Walls

  Yes

  No

  N/A