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MONTHLY TOILET CHECKLIST

LOCATION:# MONTH:

SL.NO. ITEMS NEED TO CHECK


1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Toilets and seats cleaned,disinfected,wiped dry

2 Urinal flush handles cleaned,disinfected,wiped dry

4 Sinks and fixtures cleaned,disinfected,wiped dry

5 Faucet, Valves and hoses condition

Door handles, wall switches and other "high contact" area


6 cleaned,disinfected,wiped dry

7 Soap and paper dispensers disinfected and restocked

8 Trash cans emptied, new liners put in place

9 Floors free of paper and trash

10 Air/odor control syatem(exhuast) operating correctly

11 Floor drains and drain covers are open and free of debris

12 Light bulbs are functioning

13 Ceiling wall vents cleaned, disinfected,wiped dry

Floor has been mopped clean with a proper cleaning or


14
disinfecting solution
Checked By Name:

Approved By:

MIA/HSE/01-40

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