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  • Ablutions Facilities Checklist Daily

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    Phanankosi Dube
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    This document is a hygiene facilities checklist for a site location. It provides a table to record the condition of various facilities on a daily basis, including doors, floors, walls, partitions, and bathroom amenities. The checklist is Revision 4, effective February 2019, and must be approved, signed and dated upon completion by management to document the hygiene inspection for the year 2019.

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    This document is a hygiene facilities checklist for a site location. It provides a table to record the condition of various facilities on a daily basis, including doors, floors, walls, partitions, and bathroom amenities. The checklist is Revision 4, effective February 2019, and must be approved, signed and dated upon completion by management to document the hygiene inspection for the year 2019.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    15 views1 page

    Ablutions Facilities Checklist Daily

    Uploaded by

    Phanankosi Dube
    This document is a hygiene facilities checklist for a site location. It provides a table to record the condition of various facilities on a daily basis, including doors, floors, walls, partitions, and bathroom amenities. The checklist is Revision 4, effective February 2019, and must be approved, signed and dated upon completion by management to document the hygiene inspection for the year 2019.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Registers HSE-4

    Revision No: 4

    Effective Date: February 2019

    Approved by: Management

    Hygiene Facilities Checklist


    Site:
    Location of Facility: Frequency: Daily
    Responsible Person: Year: 2019

    CONDITION
    ` Clean Dirty Damaged Missing COMMENTS/ACTION
    1 Entrance door
    2 Floors
    3 Walls/ Tiles
    4 Partitions
    5 Ceiling
    6 Illumination
    7 Windows: Non-transparent Glass
    8 Ventilation: Natural/Artificial
    9 Doors to cubicles
    Toilet: chamber/ water Inflow/ Seat
    10
    cover/ flush action
    11 Urinal: Flush action
    12 Toilet Paper
    13 Drying paper/Towel/Dryer
    14 Soap
    15 Hand wash basin
    16 Warm / Cold Water
    Gender identification/
    Sanitation facility
    17

    19 Disposal Bins

    20 Lockers

    21 Bench

    22 Showers

    NAME SIGNATURE DATE

    1 Created by ALVA Group (Pty) Ltd

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