Statford DC Public Toilet Cleaning Audit

• Audit Title

• Prepared by

• Document No.

• Site name

• Conducted on

  Date
• Location
  Address

• Attendees

Inspection report requirements and metrics

• Cleaning inspection shall be performed on a agreed schedule by the property manager (or authorized representative) and the contractor representative.

• Key:
  
  Good = 10 points
  Fair = 5 points
  Poor = 0 points
  
  Yes = 10 points
  No = 0 points
  NA = 10 points

Public Toilets

• Hard Flooring

  Good

  Fair

  Poor

  N/A

• Hand Basins

  Good

  Fair

  Poor

  N/A

• Urinals

  Good

  Fair

  Poor

  N/A

• Toilet Bowls

  Good

  Fair

  Poor

  N/A

• Cubicles/Partitions

  Good

  Fair

  Poor

  N/A

• Walls & Doors

  Good

  Fair

  Poor

  N/A

• All Horizontal Surfaces

  Good

  Fair

  Poor

  N/A

• Fixtures & Fittings

  Good

  Fair

  Poor

  N/A

• Pipework/Detail

  Good

  Fair

  Poor

  N/A

• Mirrors

  Good

  Fair

  Poor

  N/A

• Bins Emptied

  Yes

  No

  N/A

Site Compliance

• Warning Signs

  Good

  Fair

  Poor

  N/A

• Site File

  Good

  Fair

  Poor

  N/A

• Communication Book

  Good

  Fair

  Poor

  N/A

• Uniform

  Good

  Fair

  Poor

  N/A

Assessors signatures

• Property Manager or authorized representative

  Sign

• Contractors representative

  Sign