Inspection

EH Practitioner

Community

Date

House address

Number of people living in house at time of inspection

Shower taps

Hot tap

Action

Cold tap

Action

Hot water flow

Action

Cold water flow

Action

Shower rose works

Action

Shower drain works

Action

Grate

Action

Shower Soap holder

Action

Hand basin

Action

Basin is safe

Action

Basin taps
Hot tap

Action

Cold tap

Action

Hot water flow

Action

Cold water flow

Action

Basin cabinet is present
Cabinet is functional

Action

Basin drain works

Action

Floor surface

Floor waste

Action

Grate

Action

Floor waste works

Action

Mirror present

Action

Mirror is safe

Kids can see their face
Towel rail / hooks

Action

Towels can be hung up
Towels can be hung seperately
Is there a shower screen

Action

Does it work

Action

It is clean
Soap was present

In the Shower

At the Basin

How many people use this bathroom ?

Does everyone have their own towel ?

Can each towel be hung up in the bathroom ?

Did you install towel hangers or towel rails ?

How many towels given to this house ?

How many bars of soap given to this house ?

Are soap holders installed

How many soap holders

New mirror installed ?

Face and Hand washing sticker in place?

Did you replace the Face and Hand washing sticker?

Did you have a conversation about Face and Hand washing?

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.