PUBLIC RESTROOM CLEANLINESS AUDIT

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--- OVERALL IMPRESSION ---
[ ] Overall Cleanliness Rating (1-5, 5 being excellent)
[ ] Brief Narrative Description of Initial Impression
[ ] What are the most noticeable issues? (Lingering Odors, Visible Dirt/Grime, Unstocked Supplies, Damaged Fixtures, Excessive Moisture, Other (Specify in Long Text))
[ ] If 'Other' was selected above, please specify:
[ ] Is the restroom acceptable for public use? (Yes, No, Requires Immediate Action)
[ ] Any additional notes or observations?

--- ENTRANCE & VESTIBULE ---
[ ] Lighting Condition (1-5, 1=Dim, 5=Bright)
[ ] Floor Condition (Select all that apply) (Clean, Wet, Debris Present, Damaged Tiles, Slip Hazard)
[ ] Door Condition (Clean, Dirty, Damaged, Hinges Visible)
[ ] Describe any visible damage to the entryway (e.g., cracked walls, peeling paint)
[ ] Entryway Signage (Present & Legible, Present but Difficult to Read, Missing)
[ ] Attach Photo of Entryway Condition

--- FIXTURES (TOILETS, URINALS) ---
[ ] Number of Toilets/Urinals Operational
[ ] Toilet Seat Cleanliness (Spotless, Slightly Dirty, Moderately Dirty, Excessively Dirty)
[ ] Urine Bowl Cleanliness (Spotless, Slightly Dirty, Moderately Dirty, Excessively Dirty)
[ ] Toilet Bowl Water Line (Clean, Stained, Mineral Deposits, Other (Specify in Long Text))
[ ] Describe Any Stains or Issues Observed (If Applicable)
[ ] Flush Mechanism Functionality (Functions Properly, Slow Flush, Does Not Flush, Leaking)
[ ] Number of Toilets/Urinals with Issues

--- FIXTURES (SINKS & COUNTERTOPS) ---
[ ] Sink Surface Cleanliness (Spotless, Slightly Soiled, Moderately Soiled, Heavily Soiled)
[ ] Countertop Surface Cleanliness (Spotless, Slightly Soiled, Moderately Soiled, Heavily Soiled)
[ ] Faucet Functionality (Water Flow & Temperature) (Excellent, Good, Fair, Poor)
[ ] Water Temperature (Approximate in °F)
[ ] Soap Dispenser Condition (Full & Working, Nearly Empty, Empty & Non-Functional, Leaking)
[ ] Describe any issues observed with the faucets or dispensers.
[ ] Upload Photo of Sink Area (if issues present)

--- FLOORING & WALLS ---
[ ] Floor Condition - What issues are observed? (Clean & Dry, Minor Dirt/Debris, Visible Staining, Wet/Damp, Cracked/Damaged Tiles, Loose Tiles, Grout Discoloration)
[ ] Wall Condition - What issues are observed? (Clean & Free of Marks, Minor Scuffs/Marks, Graffiti, Water Stains, Mold/Mildew, Damage/Cracks)
[ ] Number of Cracked/Damaged Floor Tiles (if any)
[ ] Number of Cracked/Damaged Wall Tiles (if any)
[ ] Describe any specific areas of concern on the flooring or walls.
[ ] Grout Condition (Excellent, Good, Fair, Poor)

--- SUPPLIES & AMENITIES ---
[ ] Toilet Paper Rolls Remaining (per stall)
[ ] Soap Dispenser Fill Level (estimate %)
[ ] Paper Towel Dispenser Fill Level (estimate %)
[ ] Soap Type Available (Liquid, Bar Soap, Foam, None)
[ ] Amenities Present (Check all that apply) (Hand Dryer, Air Freshener, Baby Changing Station, Tampon/Pad Dispenser)
[ ] Baby Changing Station Condition (Clean and Sanitary, Soiled, Missing Changing Pad)
[ ] Notes on Supply Levels/Condition

--- ODORS & VENTILATION ---
[ ] Describe the initial odor upon entering the restroom. (Fresh/Neutral, Slightly unpleasant, Unpleasant/Strong, Very unpleasant/Overpowering)
[ ] Is the ventilation system operating? (Yes, No, Unsure)
[ ] If ventilation fan is present, estimate airflow strength (scale of 1-10, 10 being strongest)
[ ] Describe any specific odors detected (e.g., urine, mildew, chemicals).
[ ] Are there any signs of moisture or mildew in the ventilation area? (Yes, No, Unsure)

--- TRASH RECEPTACLES ---
[ ] Number of Trash Receptacles Present
[ ] Trash Receptacle Liner Status (Lined, Unlined, Liner Missing)
[ ] Trash Receptacle Condition (Clean, Minor Stains, Damaged, Excessive Stains)
[ ] Percentage of Receptacles Full (Estimate)
[ ] Notes on Trash/Debris Around Receptacles
[ ] Type of Receptacle (Standard, Recycling, Special Waste)

--- ACCESSIBILITY ---
[ ] Toilet Stall Door Operation (Opens Inward, Opens Outward, Automatic/Power Assist)
[ ] Sink Height Compliance (Compliant (34” max), Non-Compliant, N/A - No Sink Present)
[ ] Mirror Height Compliance (Compliant (at least 28” from floor), Non-Compliant, N/A - No Mirror Present)
[ ] Grab Bar Presence (Toilet) (Present & Secure, Missing, Damaged/Loose)
[ ] Clearance Width at Sink (inches)
[ ] Accessible Dispenser Heights (All dispensers compliant (48”-60” from floor), Some dispensers non-compliant, All dispensers non-compliant)
[ ] Additional Accessibility Notes

--- GENERAL MAINTENANCE ---
[ ] Water Leakage (if any) - Amount in Gallons/Minute
[ ] Describe any visible damage to stalls (e.g., broken partitions, loose hardware)
[ ] Condition of Mirrors (Excellent - No scratches or damage, Good - Minor scratches/blemishes, Fair - Noticeable scratches/damage, Poor - Significant damage)
[ ] Number of Broken/Damaged Fixtures
[ ] Description of any unusual noises (e.g., dripping, humming)
[ ] Condition of Grouting/Caulking (Excellent - Intact and clean, Good - Minor discoloration/cracks, Fair - Noticeable gaps/damage, Poor - Significant deterioration)
[ ] Date of Last Maintenance Repair (if known)
[ ] Any other maintenance concerns not covered above.

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