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Information
Document No.
Department/Floor
Bathroom number/Location
Conducted on
Prepared by
Please complete this inspection weekly and send to Facilities Manager via e-mail Rating: 1 = Legally and Company Compliant 2 = Scoring: If the score is above 3 please provide solution or suggestion to rectify as we'll as time frame to be completed
Structure
Walls in good order or in good state of repair
Tiles in good order or in good state of repair
Cubicle doors clean
Cubicle doors no cracks
Dust Bins
Clean
Lined with plastic
No bad odours
Sanitized
Drains and Troughs
Clean
No bad odours
No cracks
No Leaks
Extractor Fan
Clean
Working
Hand Basin
Clean
No bad odours
Not Damaged
Sufficient
Taps Working
Hand Dryer
Good working order
Hand Towel Dispenser
Clean
Good working order
Sanitary Bin
Clean
Good working order
Color tag
Date last serviced
Soap Dispenser
Clean
Good working order
Serviced and filled
Toilet Pot
Clean
Not cracked
No Leaks
Good working order
Seat not damaged
Toilet Roll dispensers
Clean
Good working order
Serviced and filled
Toilet Spary
Clean
Good working order
Serviced and filled
Urinol
Clean
Serviced and filled
Good working order
Toilet Seat Sanitizer
Clean
Serviced and filled
Good working order
Building Maintenance Representative
GEW Technologies
GEW Technologies Bathroom Inspection
Building Maintenance use this to weekly inspect Bathrooms
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