CHECKLIST

SUPERVISING TEACHER:

TOILETS TOILET LOCATION:

DAILY
CHECK

ARE TOILETS AND TOILET FACILITIES MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
CLEANED & DISINFECTED? AM PM AM PM AM PM AM PM AM PM

According to the toilet cleaning

& disinfecting procedures
Remarks

Date
Time cleaned
AM: AM: AM: AM: AM:

NAME & SIGNATURE

PM: PM: PM: PM: PM:

ARE MATERIALS AVAILABLE

IN THE TOILET FOR USERS? MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Water
Soap
Trash bin
Toilet brush
Dipper/bucket

Remarks

Date
Time of checking

NAME & SIGNATURE

COMPLETED CHECKLIST VERIFIED BY:

© DepEd, GIZ, HBCC, Unicef, Save the Children; September 2021

G&
TOILET CLEANIN
OCEDURES
HAND

DISINFECTING PR
FACE
SPACE
SURFACE
THE PASSWORD
TO A HEALTHY SCHOOL

SUPERVISING TEACHER SCHOOL WinS COORDINATOR / SCHOOL HEAD CLEANING

SOLUTION

DISINFECTING

3.
SOLUTION

1. Prepare cleaning solution and

Put on rubber boots, face mask, 2. disinfecting solution, bleach,
eye protection and gloves. Collect waste for safe disposal. bucket, mop, brush, cloth/sponge.

5 min.
4. 5. 6. 7.

MAKE SURE THIS

Apply 30 ml of bleach Use Scrub the With the remaining
directly under the rim cleaning solution. inner part with a cleaning solution, mop the floor.
and leave for 5 minutes. Clean the outside. toilet brush, then flush. Then rinse with water.

POSTER AND THE HIGH TOUCH SURFACES:

STICKERS ARE VISIBLE

FAUCETS, TOILET SEATS,

DATE SUBMITTED
CISTERN FLUSH HANDLES,
5 min. DIPPERS, LIGHT SWITCHES,
DOORKNOBS, ETC.
8. 9.
Use disinfecting solution. Soak a fresh cloth with it and apply Return the emptied
to high touch surfaces. Wait for 5 minutes before wiping off. trash bin inside the toilet.

10. 11. finally

Wash your hands
Wash and clean the used materials Remove PPE and disinfect with soap
and store them in a safe place. if they are reusable. and water.

5 ml
household bleach Detergent/soap
≈ 1 teaspoon

DISINFECTING 250 ml CLEANING Water

SOLUTION Water SOLUTION
© September 2021

Implemented by:

This checklist is in accordance with DepEd Order No. 14, s. 2020, or the Guidelines on the Required Health Standards in Basic Education Offices and Schools.