Title Page
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Conducted on
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Prepared by
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Location
Ladies
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Lighting working and no defects
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Floor clean
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Sinks clean and no defects to sanitary ware
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Taps sensors working, water temp safe to touch
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Hand dryers working
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Towel dispensers working and filled
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Door locks working and no defects
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Toilet bowls ok
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Toilet seats in place and secure
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Flushing mechanisms in place and working
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Soap dispensers in place, working and filled
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Mirrors clean and no defects
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Toilet roll holders in place and no defects
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Sanitary bins in place
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Rubbish bins ok
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Disabled handrails secure and in position
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Wallpaper in position and damage free
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Tiles clean and no defects
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Baby change unit safe and secure
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Wooden access under sinks in place, secure and no defect
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Signage secure, clean, in place and no defects
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Cubicles clean and any works reported to cleaners
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Ceiling tiles in place and secure with no defects
Gents
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Lighting working and no defects
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Floor clean
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Sinks clean and no defects to sanitary ware
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Taps sensors working, water temp safe to touch
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Hand dryers working
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Towel dispensers working and filled
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Door locks working and no defects
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Toilet bowls ok
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Flushing mechanisms working and in place
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Toilet seats in place and secure
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Urinals clean, no defects and flushing as they should be
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Soap dispensers in place, working and filled
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Mirrors clean and no defects
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Toilet roll holders in place and no defects
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Rubbish bins ok
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Tiles clean and no defects
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Wallpaper in position and damage free
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Cubicles clean and any works reported to cleaners
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Wooden access under sinks in place, secure and no defect
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Ceiling tiles in place, secure and no defects
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Signage secure, clean and in place and no defect
Parent & Baby rooms
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Lighting working and no defects
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Door locks working and no defects
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Floor clean
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Baby change unit safe and secure
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Sink clean and no defects to sanitary ware
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Taps sensors working, water temp safe to touch
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Towel dispenser working and filled
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Tiles clean and no defects
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Wallpaper in position and damage free
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Ceiling tiles in place, secure and no defects
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Wooden access under sink in place, secure and no defect
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Nappy bin in place
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Signage secure, clean and in place with no defect
Disabled toilet
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Lighting working and no defects
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Door closer working ok
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Floor clean
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Hand dryer working
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Towel dispenser filled and working
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Hand rails secure and in position
- Yes
- No
- N/A
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Toilet bowl ok
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Sink clean and no defects to sanitary ware
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Tap sensor working, water temp safe to touch
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Disabled alarm in position, tested and no faults
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Sanitary bin ok
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Rubbish bin in place
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Tiles clean and no defects
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Wallpaper in place and no defects
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Ceiling tiles in place and secure, no defects
Lobby area
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Floor - clean and free from defect
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Walls - clean and free from defect
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Lighting - all working and no defect
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Ceiling - in place and no defect
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