2005 - WORKPLACE INSPECTION CHECKLIST - DOC

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					               DEPARTMENT OF
               ENVIRONMENTAL HEALTH AND
               SAFETY (EHS) & SECURITY
                                   “Due diligence is what we promote, risk management is what we support”

Document Name:         Master Workplace Inspection Checklist for Washrooms
Document Type:         Form
Control Number:        UEHS – FM_012_49
Measure:
File Code:
Reviewed:              October 2011




                    WASHROOM INSPECTION CHECKLIST

 Department/Unit:

 Date Inspected:


 Building Location(s):



 Inspector(s):


 Main Contact Name:

 Room:                    Ext.:                          Email:


 Department Head Name:

 Department Head Signature:

 Date Reviewed by Dept Head:

       Workplace Inspection Program -- http://www.ryerson.ca/cehsm/programs/safety.html




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 49.0     WASHROOMS                                                            Y   N/A   N

  49.1    Are mirrors in good condition and firmly secured?

 49.2     Are floors, ceilings, and walls in good condition?

 49.3     Are locks on stalls in good condition and fully operational?

 49.4     Are hinges on doors in good condition and correctly fixed?

 49.5     Are water taps and sinks in good condition? (Not leaking)

 49.6     Are soap containers present?

 49.7     Are toilets flushable and in good working order?

 49.8     Are refuse containers present and in good condition?

 49.9     Are washrooms clean, tidy and free from spills and debris?

 49.10    Are sink and floor drains clear, allowing liquids to drain freely?




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