Millennium Toilet Inspection Marion

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Parentroom

• Toilet Free From Odour

  Yes

  No

  N/A

• Toilet Seat : Free from damage and cracks

  Pass

  Fail

  N/A

• Toilet Cistern : Operational

  Pass

  Fail

  N/A

• Toilet Bowls : Clean and free from damage

  Pass

  Fail

  N/A

• Toilet Paper Dispenser : Free from damage and replenished

  Pass

  Fail

  N/A

• Tiles : Free from cracks chips and holes

  Pass

  Fail

  N/A

• Floor Tiles : Clean and free from damage

  Pass

  Fail

  N/A

• Floor Drain holes : Clean and free from build-up

  Pass

  Fail

  N/A

• Sanitary Bins : free from marks and odour free

  Pass

  Fail

  N/A

• Doors and locks: Free from damage and operational

  Pass

  Fail

  N/A

• Door Jams : Clean

  Pass

  Fail

  N/A

• Mirrors : Free from damage and graffiti

  Pass

  Fail

  N/A

• Taps : Free from damage and operational

  Pass

  Fail

  N/A

• Basins : Free from damage and drain holes clean

  Pass

  Fail

  N/A

• Bench Tops : Clean and free from damage

  Pass

  Fail

  N/A

• Hand Dryers : Clean and operational

  Pass

  Fail

  N/A

• Soap Dispenser : Operational and replenished

  Pass

  Fail

  N/A

• Lights : All operational

  Pass

  Fail

  N/A

• Vents : Clean and in Place

  Pass

  Fail

  N/A

• Glass : Clean and free from finger marks

  Pass

  Fail

  N/A

• Bins : Cleaned and empty

  Pass

  Fail

  N/A

• Furniture : Clean and free from damage

  Pass

  Fail

  N/A

• Curtains : Free from holes and stains

  Pass

  Fail

  N/A

• Carpet : Clean and free from stains

  Pass

  Fail

  N/A

• Microwave : Clean and operational

  Pass

  Fail

  N/A

Disabled Toilet

• Toilet Free From Odour

  Yes

  No

  N/A

• Toilet Seat : Free from damage and cracks

  Pass

  Fail

  N/A

• Toilet Cistern : Operational

  Pass

  Fail

  N/A

• Toilet Bowls : Clean and free from damage

  Pass

  Fail

  N/A

• Toilet Paper Dispenser : Free from damage and replenished

  Pass

  Fail

  N/A

• Taps : Free from damage and operational

  Pass

  Fail

  N/A

• Hand rails : Free from damage and secure

  Pass

  Fail

  N/A

• Soap Dispenser : Operational and replenished

  Pass

  Fail

  N/A

• Mirrors : Free from damage and graffiti

  Pass

  Fail

  N/A

• Tiles : Free from cracks chips and holes

  Pass

  Fail

  N/A

• Floor Tiles : Clean and free from damage

  Pass

  Fail

  N/A

• Floor Drain Holes : Clean and free from build-up

  Pass

  Fail

  N/A

• Basins : free from damage and drain holes clean

  Pass

  Fail

  N/A

• Hand Dryers : Clean and operational

  Pass

  Fail

  N/A

• Doors / Frames : Free from damage and operational

  Pass

  Fail

  N/A

• Lights : All operational

  Pass

  Fail

  N/A

• Vents : Clean and in Place

  Pass

  Fail

  N/A

• Bins : Cleaned and empty

  Pass

  Fail

  N/A

• Sanitary Bins : Free from marks and odour free

  Pass

  Fail

  N/A

Female Toilets

• Toilet Free From Odour

  Yes

  No

  N/A

• Toilet Bowls : Clean and free from damage

  Pass

  Fail

  N/A

• Toilet Cistern : Operational

  Pass

  Fail

  N/A

• Toilet Seats : Free from damage and cracks

  Pass

  Fail

  N/A

• Doors and Locks : Free from damage and operational

  Pass

  Fail

  N/A

• Doors, Walls and Partitions

  Pass

  Fail

  N/A

• Toilet Paper Dispenser : Free from damage and replenished

  Pass

  Fail

  N/A

• Taps : Free from damage and operational

  Pass

  Fail

  N/A

• Soap Dispensers : Operational and replenished

  Pass

  Fail

  N/A

• Mirrors : Free from damage and graffiti

  Pass

  Fail

  N/A

• Tiles : Free from cracks chips and holes

  Pass

  Fail

  N/A

• Floor Tiles : Clean and free from damage

  Pass

  Fail

  N/A

• Floor Drain Holes : Clean and free from build-up

  Pass

  Fail

  N/A

• Basins : Free from damage and drain holes clean

  Pass

  Fail

  N/A

• Bench Tops : Clean and free from damage

  Pass

  Fail

  N/A

• Hand Dryers : Clean and operation al

  Pass

  Fail

  N/A

• Door Jams : Clean

  Pass

  Fail

  N/A

• Lights : All operational

  Pass

  Fail

  N/A

• Vents : Clean and in Place

  Pass

  Fail

  N/A

• Sanitary Bins : Free from marks and odour free

  Pass

  Fail

  N/A

• Bins : Cleaned and empty

  Pass

  Fail

  N/A

Male Toilets

• Toilet Free From Odour

  Yes

  No

  N/A

• Toilet Bowl : Clean and free from damage

  Pass

  Fail

  N/A

• Toilet Cistern : Operational

  Pass

  Fail

  N/A

• Toilet Seats : Free from damage and cracks

  Pass

  Fail

  N/A

• Doors and Locks : Free from damage and operational

  Pass

  Fail

  N/A

• Doors, Walls and Partitions

  Pass

  Fail

  N/A

• Toilet Paper Dispenser : Free from damage and replenished

  Pass

  Fail

  N/A

• Taps : Free from damage and operational

  Pass

  Fail

  N/A

• Soap Dispenser : Operational and replenished

  Pass

  Fail

  N/A

• Mirrors : Free from damage and graffiti

  Pass

  Fail

  N/A

• Tiles : Free from cracks chips and holes

  Pass

  Fail

  N/A

• Floor Tiles : Clean and free from damage

  Pass

  Fail

  N/A

• Floor Drain Holes : Clean and free from build-up

  Pass

  Fail

  N/A

• Basins : Free from damage and drain holes clean

  Pass

  Fail

  N/A

• Bench Top : Clean and free from damage

  Pass

  Fail

  N/A

• Hand Dryers : Clean and operation al

  Pass

  Fail

  N/A

• Door Jams : Clean

  Pass

  Fail

  N/A

• Lights : All operational

  Pass

  Fail

  N/A

• Vents : Clean and in Place

  Pass

  Fail

  N/A

• Urinals : Clean and Operational

  Pass

  Fail

  N/A

• Bins : Cleaned and empty

  Pass

  Fail

  N/A

Completion

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  Date

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