Care Facilities Management Service

DAILY TOILET MAINTENANCE CHECKLIST

Name : LADIES TOILETS Location : Month: Week:

Daily Maintenance Checking Status

Day: Monday Tuesday Wednesday Thursday Friday
S.No
Timing: 7-9 9-12 12-3 3-6 6-9 7-9 9-12 12-3 3-6 6-9 7-9 9-12 12-3 3-6 6-9 7-9 9-12 12-3 3-6 6-9 7-9 9-12 12-3 3-6 6-9

1 Mirror

2 Cobweb

3 AC Grills

4 Exhaust Fan

5 Airfreshner

6 Door

7 Window

8 Wall

9 Hand dryer

10 Wash Basin

12 W/C

13 Floor

14 Toilet Roll

15 Hand wash soap

16 Dust Bin

Done By HK Sign (CFMS) / Checked By

Sup Sign ( CFMS)

Sign (FLM)

FLM-TMP04-v1.0 Internal use only 1 of 3

 CAR Case Summary
Note: Cell Headings marked in grey color are mandatory and all relevant information should be provided in adjacent/below cell
Problem Statement Description

Trigger for this CAR

CAR Case CAR Intent
Summary
Current Performance baseline
value in Quantitative terms
Quantitative Objective of CAR
Primary Measure/Metric Name Unit of Measure Current Performance
Mean Standard Deviation
Target Performance

Impacted Quality and Process

Performance Objectives(QPPOs) <QPPO 1> <QPPO 2> <QPPO 3> <QPPO 4>
Impact Analysis and nature of impact
Impacted Processes/Sub-
processes
Benefit details Quantittative Benefits Rationale for quantitative Qualitative Benefits Rationale for qualititative
benefits benefits

Expected
Benefits

PPM Uasge details Whether PPM was used for If Yes, Provide details
estimating the expected
quantitative benefits

Defect/Problem Analysis
Causal Analysis
Solution Identification,
Tools and Prioritization and Selection
Techniques to Solution Implementation
be used Evaluate effectiveness of
implemented solution(s)
Record data for future learning and
institutionalization
 Effectiveness Analysis CAR Effort Analysis

Primary Measure/Metrics to Planned Effort in Actual Effort in Person

Phase
be evaluated Person hours hours
Pre causal analysis Post causal analysis Defect/Problem Data
Datapoint Identifier
and resolution Data and resolution Data Analysis
1 Causal Analysis
Solution Identification,
2 Prioritization and Selection
Implementation of Solutions
3
4 Evaluate Effectiveness of
Solutions
Record data for future
learning and
5 institiutionalization
6 Total
7
8 Key Learings and Highlights of this CAR
9
10
11
12
13
14
15

Statistical test to validate improvement Actual Improvement on Objectives

Data Type of the Primary
Measure/metrics to be
evaluated Initial Projected Actual

Hypothesis Testing Used

Primary Measure/Metric

Null Hypothesis
Secondary Measure/Metric

Alternate Hypothesis
Actual Financial Benefits
Hypothesis Test Results Statistical inference

Business Inference

Whether achieved If No, Provide details on

intended objective and next steps
benefits?
<Please paste the results of the test of hypothesis done>
Processes Impacted
Process change details
Whether Request for Provide details/
Process Change(RPC) justication
raised?
Can this replicated else If Yes, Provide details
where?
Impact on Process Performance Baseline