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No.:CCMI-ST/
Date :
  DRM (C)-MMCT
  Sub: Inspection of pay and use of toilets.   
  With reference to above, inspection of pay and use toilets was done on date and following was observed:
Sr.No Particulars Remarks
1 Details of pay and use contract
1.1 LOA
2.1 Name of the contractor
Address & Phone no.
2.2 Pay and Use contract details
Tenure
No. of toilet block locations.
No. of Free blocks.
Annual License fees.
3 Books of Record
LOA
Agreement
Medical Certificate
Police verification
Fire extinguisher certificate
4 Display of Rate Boards.
Location 1 Location 2 Location 3 Location 4
5 Availability of Bucket and Mugs
Location 1 Location 2 Location 3 Location 4
6 Deployment of Staff with uniform and ID card.
Location 1 Location 2 Location 3 Location 4
7 Hygiene and Cleanliness of Toilets
Location 1 Location 2 Location 3 Location 4
8 Availability of Water in Toilets & Urinals
Location 1 Location 2 Location 3 Location 4
9 Drainage condition and septic tank/chamber.
Location 1 Location 2 Location 3 Location 4
10 Condition of Urinal pots and commode & urinal drain pipes.
Location 1 Location 2 Location 3 Location 4
11 Fixture fittings such as taps, doors, tiles, etc
Location 1 Location 2 Location 3 Location 4
12 Lighting arrangements
Location 1 Location 2 Location 3 Location 4
13 Exhaust fans
Location 1 Location 2 Location 3 Location 4
14 License fees paid details
15 POS machine/QR code available.
16 Whether electric meters and water flow meters installed at all the locations.
17 Complaint book available.
18 Whether cleaning and operation of the toilet block is done as per SCC clause no.16.
19 As per clause 19.c of the SCC, whether the surrounding of the toilet (about 1 meter around) is ensured.
20 Whether the staff is in uniform and wearing ID cards
Location 1 Location 2 Location 3 Location 4
21 As per clause 4.c of the SCC, whether water bill has been raised after free consumption.
22 Any other observations.

Submitted for information please.
Encl: as above.

C/-

CCMI-ST

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