Doc.Ref.

No
HSE-CL-12
. COMPANY MAME
Rev. 0.0 COMPANY LOGO
Date MMM/YYYY
Page 1 of 1
WASHROOM CLEANING CHECKLIST

Project Name Project No.

Project Location Month & Year

Task
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Completed
Pre-Opening Inspection
Check Stock
Toilet Paper
Filled
Soap Filled
Air
Freshener
Clean & Tidy

Sinks Clean

Wipe Mirror
Toilets
Clean
Floor Clean
Trash
Emptied

Signed by

Tick box only if an item has been restocked or completed.

Document No: COMPANY MAME-HSE-CL-12. REV.0.0.