PA Restrooms - duplicate

• Conducted on

  Date

• Prepared by

• Location
  Address

Restrooms inspection

• Entry door is clean, defect free, and in good working condition

  Yes

  No

  N/A

• All wall paper in restroom is in good condition. No seperation at any wall paper seems.Repair as needed

  Yes

  No

  N/A

• All faucets are in working condition

  Yes

  No

  N/A

• All faucets have aerators installed and all areators are the same. Install as needed

  Yes

  No

  N/A

• Record and check that all faucet temperatures are between (122 128 deg. )

  Yes

  No

  N/A

• Check all sinks for damage and or crackes

  Yes

  No

  N/A

• Check all drain assemblies for proper drainage and Leaks

  Yes

  No

  N/A

• Check all wall scone lights are working, and that all have the same light bulbs

  Yes

  No

  N/A

• Check All sophet flourescent lighting. Replace as needed

  Yes

  No

  N/A

• Check all urinals for Proper operation and proper drainage

  Yes

  No

  N/A

• Check all Toilets for proper operation and proper drainage

  Yes

  No

  N/A

• Check all toilet stall doors and urinal dividers hardware for proper working condition. Ie: all bolts brackets and latches are in good working conditon

  Yes

  No

  N/A

• Check all Metal dispensers are in good working condition and all have working locks

  Yes

  No

  N/A

• Check all toilet seats are tight and defect free

  Yes

  No

  N/A