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_Underhill Ice Arena__ Floor__2 – in weight room, on right___
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 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)_ N/A
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)___Single-stall________
6) What kind of latch is on the stall door? Sliding Latch Small turn knob Large turn knob with lip Other (specify)_____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 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.)____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)__________30 PARTIALLY 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)?____NO__ A dryer / paper towel dispenser?_________YES_________
13) Is there a tampon / pad dispenser at chair height? NOT PRESENT______
14) Is the accessible stall marked as accessible?____N/A_____
15) Is the outer bathroom door marked as accessible? _____N/A ____
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 ___”LAVORATORY”_____________
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? ___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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