Information
-
Document No.
-
Site
-
Site Name
-
Conducted on
-
Prepared by
-
Location
Facility Summary
Facility Summary
-
Type of Facility
- Stand alone facility
- Facility part of other building
-
Facility make
-
Make
Toilet Units
-
Number of male only units
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
-
Number of urinals
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
-
Urinal capacity
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
-
Number of female only units
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
Inclusive/Unisex Units
-
Total number of inclusive/unisex units
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
Number of Interior Change Benches/Seats
-
Number of interior change benches/seats
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
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
- corrugated iron
- profile steel
- deco-mastic tiles
- clear plastic profile
- tiles
- fiberglass
- concrete
- other
-
Description
-
Condition
- 5 - very poor
- 4 - poor
- 3 - average
- 2 - very good
- 1 - excellent
- n/a
Exterior Walls
-
Wall materials
- corrugated iron
- profile steel
- deco-mastic tiles
- clear plastic profile
- tiles
- fiberglass
- concrete
- other
-
Description
-
Condition
- 5 - very poor
- 4 - poor
- 3 - average
- 2 - very good
- 1 - excellent
- n/a
Exterior Door
-
Exterior door materials
- stainless steel
- painted/coated steel
- timber
- fiber board
- plywood
- other
-
Description
-
Condition
- 5 - very poor
- 4 - poor
- 3 - average
- 2 - very good
- 1 - excellent
- n/a
Interior Walls
-
Interior wall material
- timber
- fiberglass
- tiles
- steel
- formica
- plastic sheeting
- rudneff panel
- compressed cement
- MDF
- plywood
- gib board
- hardboard
- other
- none
-
Description
-
Condition
- 5 - very poor
- 4 - poor
- 3 - average
- 2 - very good
- 1 - excellent
- n/a
Partitions
-
Partition material
- proprietary
- concrete block
- timber
- plywood
- compressed sheet
- steel
- other
- n/a
-
Description
-
Condition
- 5 - very poor
- 4 - poor
- 3 - average
- 2 - very good
- 1 - excellent
- n/a
Ceiling
-
Ceiling material
- timber
- fiberglass
- tiles
- steel
- formica
- plastic sheeting
- rudneff panel
- compressed cement
- MDF
- plywood
- gib board
- hardboard
- other
- none
-
Description
-
Condition
- 5 - very poor
- 4 - poor
- 3 - average
- 2 - very good
- 1 - excellent
- n/a
Floor Material
-
Floor material
- Concrete - unfinished
- Concrete - Painted
- Concrete - Coated
- Timber
- Tiles
- Fiberglass
- Other
-
Description
-
Condition
- 5 - very poor
- 4 - poor
- 3 - average
- 2 - very good
- 1 - excellent
- n/a
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
- Closed
- Key access only
- Limited hours
- Dawn to dusk year round
- 24 hours
- Unspecified
-
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
- Very difficult to clean, no drainage
- Difficult to clean, poor drainage
- Awkward to clean, ok drainage
- Straightforward to clean, ok drainage
- Easy to clean, good drainage
-
Hand washing
- no hand washing
- tap only
- hand-sanitiser
- tap and soap dispenser
- tap and soap bar
- sensor tap, sensor soap
-
Hand Drying
-
Toilet Paper
- No paper
- single sheet dispenser
- exposed single roll
- exposed multiple roll
- enclosed roll
- sensor dispener
-
Warm water
Presentation
-
Occurrence of Vandalism
-
Condition of fixtures
- 5 - very poor
- 4 - poor
- 3 - average
- 2 - very good
- 1 - excellent
- n/a
-
Graffiti Removal
- 5 - very poor
- 4 - poor
- 3 - average
- 2 - very good
- 1 - excellent
- n/a
Summary
Signs
-
Signs
-
Directional signs to toilets
-
Standard symbols
-
Council contact information
-
Cleaning frequency information
Additional Services
-
Sanitary Disposal Bin
- free standing
- built in
- none
-
Other services
Overall Condition
-
Overall condition
- 5 - very poor
- 4 - poor
- 3 - average
- 2 - very good
- 1 - excellent
- n/a
General Comments
-
CPTED Comments
-
Other items to note
Current maintenance actions
-
Maintenance issue
Action
-
Issue
-
Add media
Authorisation
-
Signed