Restroom Facility - Lafourche Parish Government Parks and Recreation Site Condition Assessment

• Conducted on

  Date

• Site conducted

  Select

• Prepared by

• Document ID

GENERAL WASHROOM

• Are the washroom’s door and handle clean and in good repair?

  Yes

  No

  N/A

• Is the washroom’s interior clean upon first impression?

  Yes

  No

  N/A

• The washroom is free of any unpleasant odor?

  Yes

  No

  N/A

• Is the washroom well lit?

  Yes

  No

  N/A

• Are all light bulbs in the washroom functional?

  Yes

  No

  N/A

• Is the washroom free of graffiti?<br>

  Yes

  No

  N/A

• The washroom is free of vandalism?<br>

  Yes

  No

  N/A

• Do all stall doors close and lock properly?<br>

  Yes

  No

  N/A

SINK AREA

• Do all faucets flow properly and not spray water onto a patron or the counter?<br>

  Yes

  No

  N/A

• Does the sink’s tap supply both hot and cold water?<br>

  Yes

  No

  N/A

• The soap dispenser is in working order?<br>

  Yes

  No

  N/A

• Is the electric hand dryer / towel dispenser operational?<br>

  Yes

  No

  N/A

• Is the mirror free of cracks and in good repair?

  Yes

  No

  N/A

TOILETS

• Does the toilet flush properly?

  Yes

  No

  N/A

• Is the toilet seat in good repair? (no cracks, does not move when you sit, raises and lowers properly)

  Yes

  No

  N/A

• There is a bin next to the toilet to dispose of non-flushable materials?

  Yes

  No

  N/A

INFANT CHANGE TABLE AREA

• Does the infant change table raise and lower securely?<br>

  Yes

  No

  N/A

• Is the infant change table free of stains and cracks?<br>

  Yes

  No

  N/A

• The infant change table is stable and in good order?<br>

  Yes

  No

  N/A

• Are liners available in the dispenser next to the change table?<br>

  Yes

  No

  N/A

ACCESSIBILITY

• Facility meets the requirements of the American with Disabilities Act.

  Yes

  No

  N/A