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Washroom Site Analysis for Safe and Sanitary Disposal of Menstrual Care Products
This assessment tool is designed to help you attain and maintain a safe and sanitary method for the disposal of menstrual hygiene products in your facility's restroom(s). We encourge you take a look at all designated women's restrooms plus family and unisex washrooms; and in the case of multiple buildings, to complete this tool for each facility. Ann Germanow, Product Specialist, will review this information and make suggestions for resources to help protect the health and safety of restroom patrons and custodial staff while preserving plumbing infastructure and the environment.
Preferred janitorial supply distributor:
Record the number of women's restrooms:
Record the TOTAL number of stalls :
Record the number of unisex/family restrooms
1. Are the toilet areas equipped with a separate trash receptacle for the disposal of menstrual hygiene products? If No, skip to # 9
2. If Yes, what type of stall trash receptacle?
Surface mounted plastic, stainless steel or metal with a lid
Recessed or built into the stall/wall
3. What condition are the inside and outside of the stall waste receptacles? (Please open lid to evaluate and check all that apply)
Streaked or stained
Falling off wall/stall
Lid broken or missing
Recessed receptacles-Missing the inside bin
4. Are stall trash waste recepacles lined with a bag?
Lined with a plain plastic bag
Lined with a grocery, takeout or produce bag
Lined with a waxed brown paper bag
Lined with a plain or logo paper carryout bag
Not lined with a bag
5. Rate how well the bag covers the inside surface of the stall trash receptacle to contain all the waste
6. Rate how well the bag helps to reduce unpleasant odors coming from the stall trash receptacle.
7. Have needles or sharps ever been improperly discarded into stall trash receptacles?
8. How concerned are you about the risk of custodial staff being exposed to blood and body fluids when emptying receptacles?
Not a concern
Somewhat of a concern
A great concern
9. Are there plumbing problems caused by patrons flushing tampons, pads, wipes or other personal care products ?
10. Please check all that apply. In the last six months plumbing problems resulted in......
"out of order" toilet
in-house staff making repairs
hiring outside plumbing services
repair expenses under $100.00
repair expenses over $100.00
repair expenses over $1000.00
toilet overflow requiring cleanup
shut down of restroom
using a plunger
using a snake
main sewer line blockage
11. Are there signs instructing users to not flush tampons and pads?
Any other comments or concerns?
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