COVER

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

REST ROOM

  • Building

  • Room number or designation

REST ROOM USE

  • Approximate number users

  • Approximate room size (metres squared)

  • Rest room size is SUITABLE FOR THE NUMBER of USERS

  • Rest room ARRANGEMENT is suitable FOR THE NUMBER OF USERS

  • Comments on use of rest room facilities

ROOM FEATURES

  • Rest room can be SECURED

  • Rest room has suitable VENTILATION

  • Rest room has suitable MAINS HEATING

  • Rest room has suitable SUPPLEMENTARY HEATING

  • Rest room users have suitable access to a TELEPHONE

  • Rest room has suitable NATURAL LIGHTING

  • Rest room has suitable ARTIFICIAL LIGHTING

  • Rest room has a suitable FLOOR COVERING

  • Report any negative features of the FLOOR COVERING

ROOM HOUSEKEEPING

  • Standard of HOUSEKEEPING suitable

ROOM FURNISHINGS

  • Rest room equipped with suitable CHAIRS

  • Report any negative features of the CHAIRS

  • Rest room equipped with suitable TABLES

  • Report any negative features of the TABLES

FOOD PREPERATION

  • Rest room has reasonable access to potable WATER

  • Rest room equipped with a suitable FRIDGE

  • Report any negative features of the FRIDGE

  • Rest room equipped with a suitable KETTLE or alternative

  • Report any negative features of the KETTLE or alternative

  • Rest room equipped with a suitable means to HEAT FOOD

  • Report any negative features of the means to HEAT FOOD

  • Rest room equipped with a suitable WASTE BIN for FOOD WASTE

  • Report any negative features of the WASTE BIN for FOOD

HAND HYGIENE

  • Rest room users have reasonable access to a SINK for HAND-WASHING

  • Rest room equipped with a suitable SINK for HAND-WASHING

  • Report any negative features of the SINK for HAND-WASHING

  • Rest room users hand-washing facilities include suitable SOAP

  • Rest room users hand-washing facilities include suitable HAND DRYING facilities

PERSONAL LOCKERS

  • Rest room users have access to secure means to STORE PERSONAL EFFECTS

  • Rest room user have access to secure personal LOCKERS to STORE PERSONAL EFFECTS

  • Report any negative features of personal LOCKERS

CLEANING MATERIAL STORAGE

  • Rest room is not used as a STORAGE FACILITY

  • Any materials stored in the rest room are SUITABLE STORED or secured

ACCESS TO TOILETS

  • Rest room users have reasonable access to TOILET FACILITIES

  • Report any negative features of the TOILET FACILITIES

  • Rest room users have access to male and female toilets or unisex toilets

  • The "same building" means can be accessed from the rest room without exiting a building.

  • Rest room users have access to TOILETS IN THE SAME BUILDING as the rest room is situated

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. You should independently determine whether the template is suitable for your circumstances.