Toilet Type

  • Select the type of toilet

Interior Cleaning

  • Are the toilets free of body wastes and grease marks visible?

  • Are the toilets free of spider webs or accumulated inspects?

  • Are the toilets free of stickers (including residue) or graffiti present?

  • Is the ceiling clean?

  • Is the baby change table clean?

  • Is behind the door clean?

  • Is the interior free of litter?

  • Are the light fittings clean and free of insects?

  • Are vents clean?

  • Is the service storeroom clean and tidy?

Exterior Cleaning

  • Is the exterior free of litter?

  • Is the exterior free of graffiti or stickers including residue?


  • Are the fittings securely fixed?

  • Do the taps operate?

  • Are there any leaks or drips?

  • Do the toilets flush and fill normally?

  • Do the lights work?

  • Is the ventilation functioning where installed?

  • Are the toilets free of damaged tiles?

  • Are the toilets free of damage to paint work?

  • Are the toilets free of other exterior building damage?


  • Is there soap in dispensers?

  • Is there toilet paper in the roll holders?


  • Were they smoke free?

  • Were they not using cellphone or texting?

  • Were they clean and tidy?

  • Were safety signs present?

  • Were health and safety policies complied with?

Overall Impression

  • Overall, how is the cleaning condition?

  • Overall, how is the building condition?

  • Enter any Requests for Service to be lodged

  • Add any extra photos if required

  • Sign here

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.