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36C78618Q0020 Attachment I - Restroom Daily Checklist.pdf

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CEMETERY RESTROOM DAILY CHECKLIST MONTH/YEAR:_______________

COMMENTS

DATE

YES NO YES NO YES NO YES NO YES NO YES NO YES NO

Mirrors

Sinks

Toilets

Floors

Trash Emptied

Light Fixtures

Soap Dispenser

Heat/Air Vents

Walls and Doors

Stall Partitions

Air Freshner Dispenser

Towels

Toilet Paper

Soap

Air Freshner

Work Completed by

Work Inspected by

CHECK DAILY (Replenish as necessary)

CLEAN MONTHLY - (Or as needed)

CLEAN DAILY

CLEAN WEEKLY - (Or as needed)

OS-1.1a: Restrooms are inspected daily and determined to be clean and supplied in accordance with Restroom checklist

SUN. MON. TUE. WED. THUR FRI. SAT.

Restrooms are to be inspected daily on the days they are open to the public.

OAI V5.0

December 2013

File details come from the government source that posted it.