Title Page

  • Document No.

  • Location:
  • Date and Time of audit

  • Photo

  • Are the gates open?

Has debris rubbish and obstructions been removed from?

  • Toilet bowls

  • Urinal troughs and grates

  • Basins

  • General area within the toilet block and 1.5m from surrounding apron

  • Rubbish bins

  • Incinerators

  • Comments:

Replenishment of Toilet Consumables:

  • Toilet paper

  • Towel dispensers

  • Urinal tablets

  • Comments:

Cleaning and Disinfection Daily Clean

  • Toilet bowls, inside and out

  • Toilet seats, lids, pipe work and fittings

  • Handrails

  • Rubbish bins

  • Urinals

  • Hand basins, taps and surrounding bench tops

  • Floors swept/washed with disinfection solution

  • Comments:

Cleaning and Disinfection / Six monthly cleans

  • Window ledges and sills cleaned

  • Ceilings are broom swept to remove cobwebs

  • Internal and external walls are swept

  • Clean light fittings from cobwebs, dust and insects

  • Remove weeds growing in or around toilet block

  • Pressure clean internal/external walls of toilet block

  • Comments:

Comments on graffiti

  • Is there graffiti

  • Male

  • Female

  • Where is the graffiti?

Maintenance Issues:

  • Male:

  • Female:

  • External:

  • Other:

  • Add media

Excelloo

  • Is this an excelloo?

  • Is the light working?

  • Does the door lock?

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.