Revised PISSAR Checklist
Adapted from http://www.uweb.ucsb.edu/~schess/organizations/pissar/checklist.htm
BASIC INFO
Group___ Erin
Type of bathroom (circle one): Women’s and Men’s
Location of Bathroom: Bldg_ Libbey Forum__ Floor__1, Rooms 6 and 9___
If the bathroom is inside a building, please give the closest entrance or elevator to the bathroom Main entrance
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)___Single-stall_____
6) What kind of latch is on the stall door? Single-stall
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.)____18___
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, 31 inches, not wrapped________
11) What kind of faucet handles does the sink have? Turn knobs
12) Is there a soap-dispenser at chair height?____ALMOST__
13) Is there a tampon / pad dispenser at chair height? ___ALMOST______
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. ___________NO_____________
Are there grab bars? Yes
GENDER SAFETY
17) Is the bathroom marked as unisex? Specify ___Women’s_/ 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?____YES___
CHILD-CARE
21) Does the bathroom have a changing table? (Specify location)_____NO______
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