AppendixC_QualityAssuranceChecklist.docx
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| AppendixB_PerformanceRequirements.docx | DOCX document |
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Appendix C: Quality Assurance Checklist March 30, 2021
Sulphur Ranger District Recreation Site Vault and Flush Toilet Facility Cleaning
Inspector: ________________________________ Inspection Date: ______________________
Note: Items highlighted in turquoise are Monday only services.
Items highlighted in grey are Friday only services.
All other services are performed on both Monday and Friday.
Group A: Monarch Lake
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids.
Entrance sidewalk is pressure washed and clear of dirt and debris.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Hand sanitizer dispenser is cleaned and sanitized.
Hand sanitizer is replaced when between ¼ empty and empty.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 50’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Note: Items highlighted in turquoise are Monday only services.
Items highlighted in grey are Friday only services.
Group A: Sunset Point Boat Ramp
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids.
Entrance sidewalk is pressure washed and clear of dirt and debris.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Hand sanitizer dispenser is cleaned and sanitized.
Hand sanitizer is replaced when between ¼ empty and empty.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 50’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Items highlighted in grey are Friday only services.
Group A: Quinette Point Picnic Area
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids.
Entrance sidewalk is pressure washed and clear of dirt and debris.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Hand sanitizer dispenser is cleaned and sanitized.
Hand sanitizer is replaced when between ¼ empty and empty.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 50’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Items highlighted in grey are Friday only services.
Group A: Willow Creek Canaal
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids.
Entrance sidewalk is pressure washed and clear of dirt and debris.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Hand sanitizer dispenser is cleaned and sanitized.
Hand sanitizer is replaced when between ¼ empty and empty.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 50’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Items highlighted in grey are Friday only services.
Group A: Willow Creek Reservoir Boat Ramp
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids.
Entrance sidewalk is pressure washed and clear of dirt and debris.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Hand sanitizer dispenser is cleaned and sanitized.
Hand sanitizer is replaced when between ¼ empty and empty.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 50’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Items highlighted in grey are Friday only services.
Group A: Stillwater Boat Ramp
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids.
Entrance sidewalk is pressure washed and clear of dirt and debris.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Hand sanitizer dispenser is cleaned and sanitized.
Hand sanitizer is replaced when between ¼ empty and empty.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 50’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Items highlighted in grey are Friday only services.
Group B: Junco Lake Trail Head
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids.
Entrance sidewalk is pressure washed and clear of dirt and debris.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Hand sanitizer dispenser is cleaned and sanitized.
Hand sanitizer is replaced when between ¼ empty and empty.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 50’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Items highlighted in grey are Friday only services.
Group B: Meadow Creek Reservoir Toilet
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids.
Entrance sidewalk is pressure washed and clear of dirt and debris.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Hand sanitizer dispenser is cleaned and sanitized.
Hand sanitizer is replaced when between ¼ empty and empty.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 50’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Items highlighted in grey are Friday only services.
Group B: Meadow Creek Reservoir Fishing Site
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids.
Entrance sidewalk is pressure washed and clear of dirt and debris.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Hand sanitizer dispenser is cleaned and sanitized.
Hand sanitizer is replaced when between ¼ empty and empty.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 50’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Items highlighted in grey are Friday only services.
Group C: Green Ridge Boat Ramp
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids.
Entrance sidewalk is pressure washed and clear of dirt and debris.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Hand sanitizer dispenser is cleaned and sanitized.
Hand sanitizer is replaced when between ¼ empty and empty.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 50’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Items highlighted in grey are Friday only services.
Group C: Shadow Mountain Picnic Area
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids.
Entrance sidewalk is pressure washed and clear of dirt and debris.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Hand sanitizer dispenser is cleaned and sanitized.
Hand sanitizer is replaced when between ¼ empty and empty.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 50’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Items highlighted in grey are Friday only services.
Group C: Pine Beach Day Use Site
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids.
Entrance sidewalk is pressure washed and clear of dirt and debris.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Hand sanitizer dispenser is cleaned and sanitized.
Hand sanitizer is replaced when between ¼ empty and empty.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 50’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Items highlighted in grey are Friday only services.
Group C: Hilltop Boat Ramp
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids.
Entrance sidewalk is pressure washed and clear of dirt and debris.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Hand sanitizer dispenser is cleaned and sanitized.
Hand sanitizer is replaced when between ¼ empty and empty.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 50’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Items highlighted in grey are Friday only services.
Group D: Idleglen Staging Area Toilet
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids.
Entrance sidewalk is pressure washed and clear of dirt and debris.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Hand sanitizer dispenser is cleaned and sanitized.
Hand sanitizer is replaced when between ¼ empty and empty.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 50’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Items highlighted in grey are Friday only services.
Group D: Bull Mountain Toilet North
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids.
Entrance sidewalk is pressure washed and clear of dirt and debris.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Hand sanitizer dispenser is cleaned and sanitized.
Hand sanitizer is replaced when between ¼ empty and empty.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 50’ of building is picked up.
Inspector: ________________________________ Inspection Date: ______________________
Items highlighted in grey are Friday only services.
Group D: Bull Mountain Toilet South
| Performance Objective |
| Complete (Yes/No) |
| Notes and Observations |
Floors are swept and clear of debris.
Trash receptable is free of trash and liners are in good condition.
Interior of facility is pressure washed and clear of dirt and fluids.
Entrance sidewalk is pressure washed and clear of dirt and debris.
Excess water has been cleared out of facility.
Toilet seat and lid, hand railings, hand sanitizer dispenser, and door handle are wiped dry.
All horizontal surfaces have been cleaned and sanitized, including the underside of the toilet lid and seat, and sinks.
Hand railings are cleaned and sanitized.
Door handles are cleaned and sanitized.
Hand sanitizer dispenser is cleaned and sanitized.
Hand sanitizer is replaced when between ¼ empty and empty.
Toilet paper mounted on wall is no less than ¾ empty and partial rolls are on top of mounted rolls.
Trash within 50’ of building is picked up.
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