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Gents Rest Room Checklist

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1) Follow work safety
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
2) Is there a Cob Web ?
Checkbox
Yes
Checkbox
No
If yes, Reason
Type here
3) Exhaust working
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
4) AC Grill working
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
5) Lights in proper condition
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
6) Soap Dispenser working
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
7) Mirror clean
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
8) Taps & Fittings in proper condition
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
9) Wash Basins in proper condition
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
10) Hand Dryer in proper condition
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
11) Urinal clean
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
12) Urinal Sensors working
Checkbox
Yes
Checkbox
No
If no Reason
Type here
13) Water Closet in proper condition
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
14) Water Closet Flush is working
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
15) Health Faucet in proper condition
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
16) Dustbin is free from litter
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
17) Water Closet Cubical and doors are clean
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
18) Wall Tile is clean
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
19) Floor is cleaned
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
20) Floor Trap in proper condition
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
21) Floor mats maintained properly
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
Consumables Availability
1) Toilet Roll
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
2) Hand Wash
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
3) Urinal Screener
Checkbox
Yes
Checkbox
No
If no, Reason
Type here
4) Remarks, if any
Type here
5) Signature
Type here
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