SENIOR HIGH SCHOOL DEPARTMENT

COMFORT ROOM CLEANLINESS MONITORING TOOL

School Year 2022 -2023

Put a check () if the given indicator is evident inside the comfort room.

Month of AUGUST
INDICATORS
WEEK 1 WEEK 2 WEEK 3 WEEK 4

M T W Th F M T W Th F M T W Th F M T W Th F
1. Windows are open for ventilation.
2. Faucets are functional and are free
of defects.
3. Proper handwashing technique and
other infection control signages are
available.
4. Trash bins are available.
5. Soap and disinfectants are
restocked.
6. Toilet and toilet seats are cleaned,
disinfected, and wiped dry.
7. Walls and fixtures are clean.
8. Floors are mopped and free of
trash.
9. Mirrors are shiny and clean.
10.This sink is scrubbed clean.

Initial of Teacher/Student Evaluator: