Fillable Printable Toilet Checklist Sample

Toilet Checklist Sample

Toilet Check List Premises Name………………………………..

Date………………

Time Supplies checked (C)/

refilled (R)

Cubicles

Checked

Details of any action Taken/

Comments

Name and

signature of staff

10:00am

11:00am

12:00am

1:00pm

2:00pm

3:00pm

4:00pm

5:00pm

6:00pm

7:00pm

8:00pm

9:00pm

10:00pm

11:00pm

12:00pm

1:00am

2:00am

If these toilets are not up to an acceptable standard please speak to a member of staff and we shall do our

best to sort any problems out.

Please contact a member of staff if any suspicious substances are seen or found in these toilets.

MANY THANKS