Millennium Toilet Maintenance.Marion

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Parentroom

• Toilet Seat

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Taps

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Mirrors

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Tiles

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Basins

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Toilet Bowls

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Soap Dispenser

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Painting

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Grout

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Doors / Frames

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Door Knobs / Handles

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Lights

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Vents

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Glass

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Bins

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Sanitary Bins

  Yes

  No

  N/A

• Furniture

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Carpet

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Microwave

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Other

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

Disabled Toilet

• Toilet Seat

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Taps

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Soap Dispenser

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Mirrors

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Tiles

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Basins

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Toilet Bowls

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Painting

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Grout

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Doors / Frames

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Door Knobs / Handles

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Lights

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Vents

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Glass

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Bins

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Sanitary Bins

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Other

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Other

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

Female Toilets

• Toilet Seats

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Taps

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Soap Dispensers

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Mirrors

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Tiles

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Basins

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Toilet Bowls

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Painting

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Grout

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Doors / Frames

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Door Knobs / Handles

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Lights

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Vents

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Glass

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Sanitary Bins

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Bins

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Other

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Other

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

Male Toilets

• Toilet Seats

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Taps

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Soap Dispenser

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Mirrors

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Tiles

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Basins

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Toilet Bowl

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Painting

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Grout

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Doors / Frames

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Door Knobs / Handles

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Lights

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Vents

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Glass

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Urinals

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Bins

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Other

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

• Other

  High Priority

  Medium Priority

  Low Priority

  Good

  N / A

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  Date

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