Christina Kloet

Men's Washroom Inspection Checklist

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Title Page

Document No.
Conducted on
Prepared by

General housekeeping is good
Take photo of problem area
Comment
Slip, trip, fall hazards
Take photo of problem area
Comment
Light covers/ceiling tiles secure
Take photo of problem area
Comment
Proper lighting
Take photo of problem area
Comment
Any burnt out bulbs
Take photo of problem area
Comment
Emergency lighting operating
Take photo of problem area
Comment
Locked or barred exits
Take photo of problem area
Comment
Fire hoses/extinguishers checked
Take photo of problem area
Comment
Equipment clearly marked
Take photo of problem area
Comment
Fire equipment clear of blockage
Take photo of problem area
Comment
Proper PPE's
Take photo of problem area
Comment
Exit map
Take photo of problem area
Comment
Any unsafe practices observed
Take photo of problem area
Comment
Inspector 1
Inspector 2

Christina Kloet

Men's Washroom Inspection Checklist

Use this Template

Print as PDF

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