Convenience Store Bathroom Cleaning Checklist Form
Use this Convenience Store Bathroom Cleaning Checklist Form to record and verify restroom cleaning tasks for your convenience store.
Date of Cleaning
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Cleaning
*
Hour Minutes
AM
PM
AM/PM Option
Staff Full Name
*
First Name
Last Name
Restroom Location
*
Please Select
Men's
Women's
Unisex
Family
Cleaning Tasks Completed
*
Sweep and mop floors
Clean and disinfect toilets/urinals
Clean sinks and countertops
Wipe mirrors
Refill soap dispensers
Refill paper towels/toilet paper
Empty trash bins
Check air freshener
Other
Were any supplies restocked?
*
Yes
No
List supplies restocked (if any)
Were any issues found?
*
Yes
No
Describe any issues found (if applicable)
Staff Signature
*
Submit Checklist
Submit Checklist
Should be Empty: