Kca J/S

• Location
  Address

• Site contact and phone number

• Conducted on

  Date

• Prepared by

1.0 - General Site Details

• 1.01 - Is this building an office, branch, or both?

  Select office branch both

  • office
  • branch
  • both

• 1.02 - Is this site Tenant or Landlord managed?

  Select Suncorp Landlord

  • Suncorp
  • Landlord

• 1.03 - What is the workday population?

• 1.04 - How many levels in the building?

• 1.05 - What are the key goals you're looking to achieve this year?

• 1.06 - How many times per month are you getting a plumber on site to unblock toilets?

• 1.07 - Who is the distributor?

• 1.08 - Are you satisfied with their consistency of service?

  Select Yes No - inconsistent

  • Yes
  • No - inconsistent

• 1.09 - What is the order frequency?

  Select weekly fortnightly monthly

  • weekly
  • fortnightly
  • monthly

• 1.10 - How are the orders placed?

  Select building manager bsc other

  • building manager
  • bsc
  • other

• 1.20 - What brand of products are currently in use on site?

• 1.30 - How much stock on hand is stored on site? (Eg: 1 week, 1 month etc)

• 1.40 - What service contracts are in place and when do they expire? (Ie: sanitary, waste disposal etc)

2.0 - Building configuration

• 2.01 - How many toilets per floor?(male/female/ambulant)

• 2.02 - Typical Female toilet:

• Cubicles:

• Dispenser type:

  Select SRT JRT HBT

  • SRT
  • JRT
  • HBT

• Brand, configuration (double jumbo, triple srt etc):

• Basins:

• Soap dispensers:

• Soap type:

  Select Bulk fill - under sink Cassette (non KC) Bulk fill - wall mount

  • Bulk fill - under sink
  • Cassette (non KC)
  • Bulk fill - wall mount

• Brand:

• Air fresheners (permanent):

• Brand:

• Other information?(sanitisers, paper wastage, mess etc)

• 2.03 - Typical Male toilet:

• Cubicles:

• Dispenser Type:

  Select SRT JRT HBT

  • SRT
  • JRT
  • HBT

• Brand/Configuration(double JRT, triple SRT etc):

• Basins:

• Soap dispensers:

• Soap type:

  Select Bulk fill - under sink Cassette (non KC) Bulk fill - wall mount

  • Bulk fill - under sink
  • Cassette (non KC)
  • Bulk fill - wall mount

• Brand:

• Air fresheners(permanent):

• Brand:

• Other information?(sanitisers, paper wastage, mess etc)

• 2.04 - Additional information?

3.0 - Products in use

• 3.01 - Toilet tissue:

• Brand/product code/case size:

• 3.02 - Hand towel:

• Brand/product code/case size:

• 3.03 - Soap:

• Brand/product code/case size:

• 3.04 - Air fresheners:

• Brand/product code/case size:

• 3.05 - Sanitisers:

• Brand/product code/case size:

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• On site representative

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• Auditor's signature

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