GEW Technologies Bathroom Inspection

• Audit Title

• Document No.

• Bathroom Location

  First Floor

  Upper Ground Floor

  Lower Ground Building A

  Building B

  Building C

• Week Number:

• Type

  Male

  Female

• Conducted on

  Date

• Inspection done by:

Structure

• Walls in good order or in good state of repair

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Tiles in good order or in good state of repair

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Cubicle doors clean

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Cubicle doors no cracks

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

Dust Bins

• Clean

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Lined with plastic

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• No bad odours

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Sanitized

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

Drains and Troughs

• Clean

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• No bad odours

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• No cracks

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• No Leaks

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

Extractor Fan

• Clean

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Working

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

Hand Basin

• Clean

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• No bad odours

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Not Damaged

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Sufficient

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Taps Working

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

Hand Dryer

• Good working order

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

Hand Towel Dispenser

• Clean

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Good working order

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

Sanitary Bin

• Clean

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Good working order

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Color tag

  Pink

  Blue

  Yellow

  White

• Date last serviced

  Date

Soap Dispenser

• Clean

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Good working order

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Serviced and filled

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

Toilet Pot

• Clean

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Not cracked

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• No Leaks

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Good working order

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Seat not damaged

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

Toilet Roll dispensers

• Clean

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Good working order

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Serviced and filled

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

Toilet Spary

• Clean

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Good working order

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Serviced and filled

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

Urinol

• Clean

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Serviced and filled

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Good working order

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

Toilet Seat Sanitizer

• Clean

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Serviced and filled

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

• Good working order

  Yes

  No

  N/A

• Please supply detail of problem and possible solution :

SIGNATURE STATUS

• Building Maintenance Representative

  Sign