Title Page
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Site conducted
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Photo of toilet block here
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Conducted on
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Prepared by
Building Information
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Type of toilet buildng
- Unisex Toilet Block
- Separate Male / Female Toilet areas
- Separate Male / Female / Unisex areas
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Number of cubicles?
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Number of pans in Men's area
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Number of pans in Womens area
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Number of urinals
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Type of urinal
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Construction type?
- Concrete block / Iron roof
- Wooden walls / Iron roof
- Exeloo product
- Permaloo product
- Bespoke design
- Plaster and tile roof
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Toilet has disabled cubicles
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Men's area
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Women's area
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Unisex disabled cubicle
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Are there changing rooms
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How many changing rooms are there?
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Include showers
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Are there baby changing tables
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Where are they?
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Is the toilet powered?
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Lights internal
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Lights external
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Hot water cylinder
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Gas hot water system
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Are outside showers present?
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Is there outdoor sinks?
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Comments
External Inspection
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Structural condition of external walls
- Excellent
- Good
- Average
- Below Average
- Failing
- Not Applicable
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Reason for condition selection?
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Condition of external surface coating
- Excellent
- Good
- Average
- Below Average
- Failing
- Not Applicable
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Reason for condition selection?
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Structural condition of external roof
- Excellent
- Good
- Average
- Below Average
- Failing
- Not Applicable
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Reason for condition selection?
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Condition of roof coating
- Excellent
- Good
- Average
- Below Average
- Failing
- Not Applicable
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Reason for condition selection?
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Are there any gutters?
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Structural condition of gutters?
- Excellent
- Good
- Average
- Below Average
- Failing
- Not Applicable
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Reason for condition selection?
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Are there any downpipes?
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Structural condition of downpipes?
- Excellent
- Good
- Average
- Below Average
- Failing
- Not Applicable
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Reason for condition selection?
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Are there meant to be downpipes?
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Are there meant to be some?
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Are there any footpaths associated with the toilet?
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What is the condition of the footpath?
- Excellent
- Good
- Average
- Below Average
- Failing
- Not Applicable
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Reason for condition selection?
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Are there external doors
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What is the condition of the external doors
- Excellent
- Good
- Average
- Below Average
- Failing
- Not Applicable
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Comments
Internal Inspection
- Internal inspections
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Area being inspected
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Structural condition of floor
- Excellent
- Good
- Average
- Below Average
- Failing
- Not Applicable
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Reason for condition selection?
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is there a floor covering?
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What is the condition of the floor covering?
- Excellent
- Good
- Average
- Below Average
- Failing
- Not Applicable
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Reason for the condition rating?
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Structural condition of internal walls
- Excellent
- Good
- Average
- Below Average
- Failing
- Not Applicable
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Reason for the condition rating?
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Condition of wall covering?
- Excellent
- Good
- Average
- Below Average
- Failing
- Not Applicable
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Reason for the condition rating?
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Internal ceiling condition?
- Excellent
- Good
- Average
- Below Average
- Failing
- Not Applicable
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Reason for the condition rating?
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Condition of toilet bowls?
- Excellent
- Good
- Average
- Below Average
- Failing
- Not Applicable
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Condition of sinks and tapware?
- Excellent
- Good
- Average
- Below Average
- Failing
- Not Applicable
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Toilet partitions condition, including doors and locks?
- Excellent
- Good
- Average
- Below Average
- Failing
- Not Applicable
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Are the following present?
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Mirrors
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Soap dispensers
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Sanitary bins
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Hand drier
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Comments?
