Restrooms
For best results, teach this lesson in the restroom that your students will be using.
Step 1: Introduce rule
It is important to be safe, respectful and responsible when using the
restroom. This is important because you and others will need to use them
during the day and you need to be safe and sanitary.
Tell
Step 2: Introduce examples
Teach
Examples of being
SAFE are ____.
Examples of being
RESPECTFUL are
__.
SAFE



RESPECTFUL
Walk
Go, flush, wash, dry,
return to class
quickly
Report problems to
an adult




Use indoor voice
Respect privacy
Clean up after
yourself
Leave promptly
Examples of being
RESPONSIBLE
are _.
RESPONSIBLE






Sign-out in room
Carry bathroom pass
Report problems to
an adult
Put trash in trash can
Keep water in sink
Clean up after
yourself
Step 3: Introduce non-examples
(teacher model only- not students)
Ask
Is _____ an example of
being SAFE?


Is _____ an
example of being 

_____?
Splashing water
Playing
Climbing on stalls
Standing on toilet
Is _____ an example of
being RESPECTFUL?



Am I being
_____ when I
_____?

Is _____ an example of
being RESPONSIBLE?
Taking too much time 
Wasting soap, water,
paper towels or toilet 
paper
Writing on walls or

stalls
Peeking at others
while they are using
the restroom
Leaving a mess for
others
Playing in the
bathroom
Wasting time
Step 4: Review examples briefly
Ask
Is _____ an example of being _____ (safe, respectful, responsible)?
Am I being _____ (safe, respectful, responsible) when I _____?
Finish this sentence: To be _____ (safe, respectful, responsible) in restroom, I will
______________ .
Show an example of being ______ (S,R,R) in the restrooms.
Step 5: Student activities
Model
for the
students
the expected
behavior.
Lead the students
as they practice
the expected
behaviors.
1. Practice using the restroom: Go, Flush, Wash, Dry, Get Back Quickly.
2. Practice hand washing for length of the “Happy Birthday to Me” Song or
singing the ABC’s.
3. Practice using one pump on the soap dispenser and one paper towel.
Teacher: Constantly give feedback to students when you notice them
meeting expectations.
Test the students
by asking them to
model correct
examples.
Step 6: Restate the rule
Tell
It is important to be safe, respectful and responsible when using the
restrooms. This is important because you and others might need to use
them during the day and you need to be safe and sanitary.
Step 7: Sentence Frame Review
Review
An example of being _______ (safe, respectful, responsible) in the restroom
is_________.
Comments, thoughts, or questions for next time the lesson is taught:
Review of Restroom Procedures
Go
Flush
Wash
Dry
Return to Class
Reteach of Restroom Expectations
Be Safe
Looks Like
Sounds Like
Be Respectful
Be Responsible
Formal Review of Expectations in the
Restroom
A. The expectation I chose not to follow was (circle all that apply):
Being SAFE




Walk
Go, flush, wash, dry, get back
to class quickly
Report problems to an adult
Being RESPECTFUL





Use indoor voice
Respect privacy
Clean up after yourself
Leave promptly
Being RESPONSIBLE





Report problems to an adult
Put trash in trash can
Keep water in sink
Clean up after yourself
B. My inappropriate behavior was:
C. I think I made this choice because:
D. Should I choose to do this again, a possible consequence might be:
E. Next time I will:
I understand I will not be able to use the restroom unescorted until this form has been
completed, signed, and returned.
Student signature: _________________________ Date: ______________
Parent comments and feedback:
Parent Signature: __________________________ Date: ______________