Restrooms/Locker Rooms Checklist Question Title * 1. Check and refill all dispensers to normal limits (soap, tissue, towels, seat covers) Yes No Question Title * 2. Clean, sanitize, and polish all fixtures including toilet bowls and seats (both sides), urinals, sinks, showers (if applicable) and all dispensers Yes No Question Title * 3. Empty waste containers and replace liners where necessary Yes No Question Title * 4. Clean and sanitize waste receptacles Yes No Question Title * 5. Polish all glass, mirrors, and bright work Yes No Question Title * 6. Sweep and mop floor with germicidal disinfectant Yes No Question Title * 7. Clean and sanitize all partitions, tile walls, and doors (removing spots) Yes No Question Title * 8. Detail floor including corners, around toilets, urinals and partition walls Yes No Question Title * 9. Report any maintenance irregularities ASAP Question Title * 10. Comments Question Title * 11. Restroom Location 1st Floor Main Lobby Restrooms 1st Floor Locker Rooms 2nd Floor Main Office Restrooms 2nd Floor Supply Chain Restrooms 2nd Floor Sensory Lab Restrooms Question Title * 12. Shift 1st 2nd 3rd Question Title * 13. Name Question Title * 14. SMO ID # Submit
