Macquarie Bathroom Checklist

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Details

• Frequency of Inspection

  Yes

  No

  N/A

Toilet Inspection Criteria Flushing mechanism is in good order Sufficient soap in soap dispensers Toilet seat secure Sufficient paper towels Toilet pan is secure without cracks or chips Sufficient paper Toilets are not blocked/over flowing Drains are clear Sanitary bins are not overflowing Overall area is clean and in a satisfactory state Lights are working Floor is dry and there are no slip hazards Paper towel cabinet is locked Odours at urinal and general area are acceptable Waste bins are not overflowing Door lock is operating Taps are operating Door is securely on hinge

Bathroom location and comments

• 1. Level 1 - Mens

  Yes

  No

  N/A

• 2. Level 1 - Womens

  Yes

  No

  N/A

• 3. Level 1 - Internal Mens

  Yes

  No

  N/A

• 4. Level 2 - Mens

  Yes

  No

  N/A

• 5. Level 2 - Womens

  Yes

  No

  N/A

• 6. Level 2 - Internal Mens

  Yes

  No

  N/A

• 7. Level 3 - Mens

  Yes

  No

  N/A

• 8. Level 3 - Womens

  Yes

  No

  N/A

• 9. Level 3 - Unisex Showers

  Yes

  No

  N/A

• 10. Level 4 - Mens

  Yes

  No

  N/A

• 11. Level 4 - Womens

  Yes

  No

  N/A

• 12. Level 5 - Mens

  Yes

  No

  N/A

• 13. Level 5 - Womens

  Yes

  No

  N/A

• 14. Level 6 - Mens

  Yes

  No

  N/A

• 15. Level 6 - Womens

  Yes

  No

  N/A

• 16. Level 7 - Mens

  Yes

  No

  N/A

• 17. Level 7 - Womens

  Yes

  No

  N/A

• Name of person conducting the inspection

  Sign