Revised PISSAR Checklist
Adapted from http://www.uweb.ucsb.edu/~schess/organizations/pissar/checklist.htm
BASIC INFO
Group___ Erin
Type of bathroom (circle one): Men’s
Location of Bathroom: Bldg_   Pettengill Hall____ Floor__ Second and Third Floor Men’s___


DISABILITY ACCESSIBILITY
1) Is the building disability accessible? YES 

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?  Lever        

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?)  NO

5) Is the stall door wide enough? Give width. (ADA = 32 in)___34_____

6) What kind of latch is on the stall door?     Turn knob

 7) How accessible is the toilet paper holder? Is it too far from the toilet to reach without losing one's balance? Yes 

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.)____ 19 ___

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)__________Yes, far left sink is wrapped, 35 inches________

11) What kind of faucet handles does the sink have? ___Turn knobs___ 

12) Is there a soap-dispenser at chair height?____In-sink__  

13) Is there a tampon / pad dispenser at chair height? ___N/A______
 
14) Is the accessible stall marked as accessible?____NO_____

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.  ____NO _____________

Are there grab bars?  Yes

GENDER SAFETY
17) Is the bathroom marked as unisex? Specify ___”MEN’S”___

18) Is it in a safe location? (i.e., not in an isolated spot)____YES_________

19) Is it next to a gender-specific restroom so that it serves as a de facto “men's” or “women's” restroom? ___NO____

20) Does the door lock from the inside? Does the lock work securely?____N/A___

CHILD-CARE
21) Does the bathroom have a changing table? (Specify location)_____NO______

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