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

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.