Revised PISSAR Checklist
Adapted from http://www.uweb.ucsb.edu/~schess/organizations/pissar/checklist.htm
BASIC INFO
Group___Phoebe And Erin
Type of bathroom (circle one): Men’s Women’s Unisex
Location of Bathroom: Bldg_Merril__ Floor__1: locker room__
If the bathroom is inside a building, please give the closest entrance or elevator to the bathroom At front of building
DISABILITY ACCESSIBILITY
1) Is the building disability accessible? YES NO
2) Is the door into the bathroom wide enough? Give width. (ADA = 32 in) __35_- YES
3) What kind of knob does the door have? Circle one: Lever Round knob Handle Automatic push-button Other (specify) _____ ____ PUSH (entry door______________
4) Are there double doors into the bathroom? (i.e., do you have to open one door and then open another door to enter the bathroom?) YES NO
5) Is the stall door wide enough? Give width. (ADA = 32 in)_N/A__
6) What kind of latch is on the stall door? Sliding Latch Small turn knob Large turn knob with lip Other (specify)_________ ___ _______________________
7) How accessible is the toilet paper holder? Is it too far from the toilet to reach without losing one's balance? YES NO
8) Describe the flush knob. (Is it a lever? If yes, is it next to the wall or on the open side of the toilet? Is it a center button?) Lever___________
9) How high is the toilet seat? (e.g., is it raised or standard?) (ADA = 17-19in.)____20___
10) Is there a roll-under sink? If so, are the hot water pipes wrapped to prevent burns? (ADA = counter top no higher than 34 in)__________30- NOT WRAPPED________
11) What kind of faucet handles does the sink have? Lever Automatic Separate turn knobs Other (specify)_____________________________________
12) Is there a soap-dispenser at chair height (ADA = you have to reach no higher than 48 in)?___YES__ A dryer / paper towel dispenser?_________YES
13) Is there a tampon / pad dispenser at chair height? NONE______
14) Is the accessible stall marked as accessible?____N/A_____
15) Is the outer bathroom door marked as accessible? ____YES____
16) Are there any obstructions in front of the sink, the various dispensers, the accessible stall, the toilet, etc.? Please specify._____________________
GENDER SAFETY
17) Is the bathroom marked as unisex? Specify __NO- GENDER SPECIFIC__________
18) Is it in a safe location? (i.e., not in an isolated spot)___________________________
19) Is it next to a gender-specific restroom so that it serves as a de facto “men's” or “women's” restroom? ___N/A____
20) Does the door lock from the inside? Does the lock work securely?____YES___
CHILD-CARE
21) Does the bathroom have a changing table? (Specify location)_____NO______
Within the women’s locker room there is this bathroom with a shower (very accessible) as well as inaccessible stall bathrooms. Men’s locker rooms were not examined.
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