Restrooms Cleaning Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Restrooms Audit

Restroom

• Location

• Bowl / Urinals

  Yes

  No

  N/A

• Lighting

  Yes

  No

  N/A

• Doors / Frames

  Yes

  No

  N/A

• Brightwork

  Yes

  No

  N/A

• Soap Dispensers

  Yes

  No

  N/A

• Sinks

  Yes

  No

  N/A

• Exhaust / Ventilation

  Yes

  No

  N/A

• Dusting (High / Low)

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Signs

  Yes

  No

  N/A

• Spotting Walls

  Yes

  No

  N/A

• Spotting / Spillage (Floors)

  Yes

  No

  N/A

• Trash Receptacles

  Yes

  No

  N/A

• Partitions

  Yes

  No

  N/A

• Drain Cover

  Yes

  No

  N/A

Authorisation Signature

• Auditor Signature

  Sign