Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Select date
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Floor
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Area
- South
- North
- East
- South East
- South West
- North East
- North West
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Male/Female/Unisex/Disabled
Cleaning
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Any cleaning observations
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Is the entrance door clean
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Is the floor clean & free from debris
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Are the urinals clean & free from debris
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Are all toilet bowls clean
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Are all cubicle walls & doors clean, & free from foreign bodies
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Is there sufficient toilet roll in all cubicles
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Confirm feminine hygiene bins are not full and are clean
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Is the area around the hand dryers clean, including all grouting
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Are all sinks clean & free from debris
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Are all mirrors clean & smear free
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Are all soap dispensers full
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Are all splash backs and sink areas clean and free from stains
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Are all vents and fans clean & free from dust
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Are all bins clean & empty
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Are all surfaces dust free
Mechanical
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Any mechanical or fabric observations
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Are all urinal drain covers in good condition
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Are all wall panels secure, in place & in good condition
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Is the sealant around the urinals sound & in good condition
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Are all toilet seats & lids secure and in good condition
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Are all cubicles structurally secure
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Do all door locks operate correctly
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Do all door locks indicate 'engaged' correctly, ie red/green
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Are all toilet bowls secure
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Is the sealant around all toilet bowls sound & in good condition
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Are all taps in working order
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Do all sink plugs operate correctly
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Is the sealant around all sinks sound & in good condition
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Are all lights working
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Does the attention alarm in the disabled toilets work
Other
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Are any work orders required
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Add media
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Auditor