LOCATION ASKEC OFFICE TOILET ID N/A FOR THE MONTH OF March-19

LEGEND OK – ACCEPTABLE, NOT - NOT ACCEPTABLE, ELM– EQUIPMENT LOST OF MISSING, REP – EQUIPMENT BEING REPAIRED, N/A – NOT APPLICABLE
RAISE THE ISSUES THROUGH CORRECTION REPORT (BEFORE & AFTER PHOTO) FOR ACTION TAKEN
0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3
2 3 4 5 6 7 9 0 1 2 3 4 6 7 8 9 0 1 3 4 5 6 7 8 0 1
/ / / / / / / / / / / / / / / / / / / / / / / / / /
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Date/ 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
/ / / / / / / / / / / / / / / / / / / / / / / / / /
Time
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
General Cleaning

Lighting

No Water Leakage

Water Availability
Closet not
broken/crack
No bad odours
Wash Basin
Available &
Cleaning
Wash Soap & Tissue
Paper Available
Sufficient
Ventilation
Toilet Flush

Signature By
Cleaner

Reviewed By Safety Sig Accepted By Site

Date Date Sign
Officer n Manager

Doc. no : El.1.4a Issue Date: 01.07.18 Rev. No . 01 Page 1 of 2

 PROJECT / DEPARTMENT NAME: Construction of 380Kv D/C OHTL interconnected to Dhahran South, New Dhahran
Central Dhahran Housing& Ownership(DHO) BSP
ELEMENT 1.4a
TOILET CHECKLIST

Doc. no : El.1.4a Issue Date: 01.07.18 Rev. No . 01 Page 2 of 2