Public Facilities Cleaning

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Is the Entrance clean

  Yes

  No

  N/A

Is it free from cobwebs

• Light fittings clean

  Yes

  No

  N/A

• The door on both sides clean

  Yes

  No

  N/A

• Are the toilet bowls clean

  Yes

  No

  N/A

• Are the urinals clean

  Yes

  No

  N/A

• The hand basin clean

  Yes

  No

  N/A

• Is the floor clean

  Yes

  No

  N/A

• Are the walls clean

  Yes

  No

  N/A

• Is the mirror clean

  Yes

  No

  N/A

• Are the taps clean and in working order

  Yes

  No

  N/A

• Is the out side free from litter

  Yes

  No

  N/A

• Does the flush work

  Yes

  No

  N/A

• Yes

  No

  N/A

Consumables

• Toilet paper 70%or more

  Yes

  No

  N/A

• Soap Dispenser 70%or more

  Yes

  No

  N/A

• Does the hand dryer work

  Yes

  No

  N/A