Southbroom Toilet Checklist

• Who is completing the checklist?

• Location
  Address

• Conducted on

  Date

Check Stock

• Are you in the Female Bathroom?

  Yes

  No

• Toilet Paper - each cubicle's holder full

  Yes

  No

• Is the hand towel dispenser clean, filled and working?

  Yes

  No

• Soap dispenser filled and clean

  Yes

  No

• She Bins *female only clean

  Yes

  No

• Air freshener available

  Yes

  No

Clean and Tidy

• Sink & fittings clean

  Yes

  No

• Mirrors clean

  Yes

  No

• Has top to bottom cleaning been done?

  Yes

  No

• Toilets clean: seat, underneath and handle

  Yes

  No

• Floors litter free and dry

  Yes

  No

• Refuse bin: emptied if halfway full

  Yes

  No

• Extra toilet paper in cupboard

  Yes

  No

• Airducts clean

  Yes

  No

• Duo-block for smell in packet

  Yes

  No

• Does the bathroom smell good?

  Yes

  No

Completion

• Name of Inspector

• Signature of Inspector

  Sign

Section 3 - Unisex Bathroom Checklist

• Are you in the Unisex Bathroom?

  Yes

  No

Check Stock

• Toilet Paper - each cubicle's holder full

  Yes

  No

• Is the hand towel dispenser clean, filled and working?

  Yes

  No

• Soap dispenser filled and clean

  Yes

  No

• She Bins *female only clean

  Yes

  No

• Air freshener available

  Yes

  No

Clean and Tidy

• Sink & fittings clean

  Yes

  No

• Mirrors clean

  Yes

  No

• Has top to bottom cleaning been done?

  Yes

  No

• Toilets clean: seat, underneath and handle

  Yes

  No

• Floors litter free and dry

  Yes

  No

• Refuse bin: emptied if halfway full

  Yes

  No

• Extra toilet paper in cupboard

  Yes

  No

• Airducts clean

  Yes

  No

• Duo-block for smell in packet

  Yes

  No

• Does the bathroom smell good?

  Yes

  No

Completion

• Name of Inspector

• Signature of Inspector

  Sign

Section 4 - Male Bathroom

• Are you in the Mens bathroom?

  Yes

  No

Check Stock

• Toilet Paper - each cubicle's holder full

  Yes

  No

• Is the hand towel dispenser clean, filled and working?

  Yes

  No

• Soap dispenser filled and clean

  Yes

  No

• Air freshener available

  Yes

  No

Clean and Tidy

• Sink & fittings clean

  Yes

  No

• Mirrors clean

  Yes

  No

• Has top to bottom cleaning been done?

  Yes

  No

• Toilets clean: seat, underneath and handle

  Yes

  No

• Floors litter free and dry

  Yes

  No

• Refuse bin: emptied if halfway full

  Yes

  No

• Extra toilet paper in cupboard

  Yes

  No

• Airducts clean

  Yes

  No

• Duo-block for smell in packet

  Yes

  No

• Does the bathroom smell good?

  Yes

  No

Completion

• Name of Inspector

• Signature of Inspector

  Sign