REST ROOM / TOILET 5S CHECK SHEETFLOOR LOCATION DATE CLEANER NAME

S.NO POINTS TO BE CHECKEDTIME TO BE CHECKED IF OK TICK MARK & IF NOT OK CROSS

7.00 8.00. 9.00 10.00 11.00 12.00 1.00 2.00 3.00 4.001 TOILET PAPER AVAILABILITY2 SOAP AVAILABILITY3 TISSUE PAPER AVAILABILITY4 DUST BIN CLEAN AND NEAT5 NO TISSUE PAPER WASTE LYING OUTSIDE6 FUCTIONING OF TOILETS IS PROPER7 BASIN OR PIE LEAK FREE8 TOILET FLUSH QUICKLY & PROPERLY9 WATER RUNS THROUGH THE PIPE OF BASIN SMOOTHLY

10 TURN ON ALL FAUCETS TO DETERMINE PLUMBING IS INTACT11 INSPECT PLUMBING UNDER SINK/LAVATORY12 NO LEAKAGE FROM TAPS & FITTINGS13 FLOOR IS DRY AND CLEAN 14 WALLS CLEAN & WITHOUT COBWEB15

CLEANING SUPERVISOR SIGNATURE

CLEANING SUPERVISOR SIGNATURE