Information

  • Document No.

  • Site

  • Site Name

  • Conducted on

  • Prepared by

  • Location

Facility Summary

Facility Summary

  • Type of Facility

  • Facility make

  • Make

Toilet Units

  • Number of male only units

  • Number of urinals

  • Urinal capacity

  • Number of female only units

Inclusive/Unisex Units

  • Total number of inclusive/unisex units

Number of Interior Change Benches/Seats

  • Number of interior change benches/seats

Mirror

  • Is there a mirror provided?

Shelf

  • Is there a shelf provided which is level and sized to accept a small bag?

Coat/Bag Hooks

  • Is there at least one hook provided with each pan?

Exterior

  • Are there any exterior showers?

  • Exterior Photos

Interior

  • Are there any interior showers facilities?

  • Interior Photos

Utilities and Sustainability

  • Water supply

  • Description

  • How is wastewater disposed of?

  • Description

  • How is stormwater disposed of?

  • Energy supply

Condition

Roof

  • Roof material

  • Description

  • Condition

Exterior Walls

  • Wall materials

  • Description

  • Condition

Exterior Door

  • Exterior door materials

  • Description

  • Condition

Interior Walls

  • Interior wall material

  • Description

  • Condition

Partitions

  • Partition material

  • Description

  • Condition

Ceiling

  • Ceiling material

  • Description

  • Condition

Floor Material

  • Floor material

  • Description

  • Condition

Equality and Inclusiveness

  • Accessible facilities provided

  • Baby Change provided

Accessibility Audit

Accessibility check list

  • Is the facility advertised as accessible?

  • Is the route from parking area to toilet free of obstructions at at least 800mm wide?

  • Is there a designated accessible parking space within 150m from the facility?

  • Is the entrance path to the cubicle wider than 760mm and free of obstructions?

  • Does the door have an internal grab rail of 30-40mm diameter and is it between 900-1000m above floor level

  • Does the door open outwards?

  • Does the cubicle exceed 1900mm long by 1600mm wide

  • Is the handbasin within 1050mm of rear of pan wall?

  • Is the handbasin a minimum of 400mm deep?

  • Is toilet roll holder accessible from toilet (within 500mm)

  • Is toilet pan max of 600mm from front of pan to back of pan and 450mm above floor level and centre of pan 450mm from wall?

Safety and Security/CPTED

Visibility and Siting

  • Visibility of the structure and its approaches

  • Proximity to other facilities

  • Orientation of the building

Building Design

  • Do building entrances face the most active space?

  • Are exterior screens translucent with a continous gap of between 150 -300mm to ground level ?

  • Are internal cubicle walls sound and with a continuous gap of between 75-100mm to ground level?

  • Is there a gap of between (75-150mm) to the underside of standard and accessible cubicle doors.

  • Is the building design free of climbing footholds, steps or "ladders"?

  • Is there good natural lighting to all areas of the facility?

  • Are floors mid to dark in colour to hide dirt and grime?

  • Are floors free-draining and free of ponding?

  • Are walls light coloured?

  • Are cisterns concealed?

  • Is plumbing concealed?

Management, maintenance and security

  • Are all privacy latches functional?

  • Does the standard of maintenance contribute to feeling of safety and care?

  • Opening Hours

  • Describe hours

Artifical Lighting

  • Is the surrounding area artifically lit?

  • Are the fixtures appropriate?

  • Is the building exterior artifically lit?

  • Are the fixtures appropriate?

  • Is the building interior artifically lit?

  • Are the fixtures appropriate?

Hygiene

  • Ventilation

  • Serviceability

  • Hand washing

  • Hand Drying

  • Toilet Paper

  • Warm water

Presentation

  • Occurrence of Vandalism

  • Condition of fixtures

  • Graffiti Removal

Summary

Signs

  • Signs

  • Directional signs to toilets

  • Standard symbols

  • Council contact information

  • Cleaning frequency information

Additional Services

  • Sanitary Disposal Bin

  • Other services

Overall Condition

  • Overall condition

General Comments

  • CPTED Comments

  • Other items to note

Current maintenance actions

  • Maintenance issue

  • Action
  • Issue

  • Add media

Authorisation

  • Signed

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