Housing for Health – the guide
  • Safety
    Electrical Safety

    Electrical Safety

    • A1.1 Safety switches
    • A1.2 Electrical earth connection
    • A1.3 Cabling and wiring
    • A1.4 Power points, lights and other fittings
    Gas Safety

    Gas Safety

    • A2.1 Gas Safety
    Fire Safety

    Fire Safety

    • A3.1 Fire prevention
    • A3.2 Fire and smoke detection
    • A3.3 Escape in the event of fire
    Structural Safety

    Structural Safety

    • A4.1 Structural safety
  • Health & Housing
    Washing People

    Washing People

    • B1.1 Wet area design
    • B1.2 Hot water
    • B1.3 Water outlets, valves & taps
    • B1.4 Washing kids ― hand basin, baths, and laundry tubs
    • B1.5 Showers
    • B1.6 Wet area floor drainage (bathroom, shower, toilet and laundry)
    • B1.7 Turning off water to allow plumbing maintenance
    Washing clothes and bedding

    Washing clothes and bedding

    • B2.1 Laundry design
    • B2.2 Drying clothes and bedding
    Removing waste water safely

    Removing waste water safely

    • B3.1 Flush toilets
    • B3.2 House drains
    • B3.3 Septic Systems + on site waste disposal
    • B3.4 Aerated waste water treatment system
    • B3.5 Dry toilets
    Improving nutrition – the ability to store, prepare and cook food

    Improving nutrition – the ability to store, prepare and cook food

    • B4.1 Quality of drinking water
    • B4.2 Food storage
    • B4.3 Preparing food – sinks and benches
    • B4.4 Cooking
    • B4.5 kitchen Design (General)
    Reducing the negative impacts of crowding

    Reducing the negative impacts of crowding

    • B5.1 Performance of health hardware in households with more people
    • B5.2 Developing the edges of the house and the yard
    • B5.3 Storage areas in the house
    Reducing the negative effects of animals, insects and vermin

    Reducing the negative effects of animals, insects and vermin

    • B6.1 Dogs, horses, pigs and other large animals
    • B6.2 Animals: rats, mice, snakes and birds
    • B6.3 Insects: ants and cockroaches
    • B6.4 Insects: mosquitoes and flies
    • B6.5 Insects: Dust mites
    • B6.6 Insects: termites
    Reducing the health impacts of dust

    Reducing the health impacts of dust

    • B7.1 Reducing the health impacts of dust
    Controlling the temperature of the living environment

    Controlling the temperature of the living environment

    • B8.1 Human comfort and climate
    • B8.2 Passive design in tropical zones
    • B8.3 Passive design for houses in arid and temperate climates
    • B8.4 Active cooling of houses
    • B8.5 Active heating of houses
    Reducing hazards that cause minor injury (trauma)

    Reducing hazards that cause minor injury (trauma)

    • B9.1 Hazardous materials
    • B9.2 Personal security
    • B9.3 Preventing slips, trips and falls
    • B9.4 Preventing cuts and abrasions
    • B9.5 Preventing burns
  • Healthy Communities
    Water

    Water

    • C1.1 Water quantity and treatment systems
    • C1.2 Water quantity and demand management
    • C1.3 Rainwater, stormwater and recycled water for landscaping
    Energy

    Energy

    • C2.1 Electricity
    • C2.2 Gas
    Waste Water

    Waste Water

    • C3.1 Waste water
    Household rubbish disposal

    Household rubbish disposal

    • C4.1 Household rubbish removal
    Community planning

    Community planning

    Landscaping

    Landscaping

    • C6.1 Landscaping
    Communications

    Communications

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Home > Health & Housing > Removing waste water safely > Flush toilets

B3.1 Flush toilets

Flush toilets are a simple and hygienic way to remove black water from the house.

Low water use dual flush cisterns are very efficient and can be obtained in 4.5/3 litre and 6/3 litre – full and half flush combinations.  Data show there has been an increase (of 10%) in the number of houses with dual flush cisterns since 2013, now 81%.

87% of houses had toilets that were able to pass a standard flush function test. 86% of houses nationally could flush waste away, refill within 3 minutes, had functioning cisterns and pans. All these parts of the flush toilet have slightly improved since 2013.

Regular maintenance to prevent leaking cisterns will also reduce water consumption and a functioning stop valve at the cistern is essential to permit simple maintenance. Only 80% of houses had functioning cistern stop valves.

It is recommended that each house should have at least one toilet, located separately from other wet area facilities, such as shower, bath and laundry, and in a lockable cubicle.  Data shows that only 72% of houses have a toilet door and lock that guarantees privacy, an improvement of 3% since 2013. But, this still needs further improvement, particularly in houses where crowding is an issue.

It is also important that a hand washing facility is provided either adjacent to the toilet or immediately outside the toilet area. Washing hands after using the toilet is important in preventing the spread of disease, particularly hepatitis.

Real world examples of problems

  • B3.1 001 Toilet cistern

Design and Specification

Ensure

  • B3.1.1.

    there is at least one flush toilet available to the house

  • B3.1.2.

    if the toilet is in a separate cubicle, the cubicle has a minimum depth of 1250mm in front of the toilet and 900mm clear width excluding door swings and fixtures, to allow use by people with disabilities and an adult assisting a child

  • B3.1.3.

    there is a hand washing facility, either a basin or tub, inside the cubicle or immediately outside

  • B3.1.4.

    a dual flush cistern is used and the pan is compatible with the cistern to reduce water use

  • B3.1.5.

    a stop valve for the toilet cistern is specified and installed to allow the cistern to be turned off for maintenance

  • B3.1.6.

    there is an external inspection opening for maintaining the toilet drain

  • B3.1.7.

    the pan is properly bedded and securely fixed to the floor and the cistern and pipes are securely fixed to the pan or wall

  • B3.1.8.

    there is a toilet roll holder

  • B3.1.9.

    the door is fitted with a privacy lock that can be unlocked from the outside in an emergency

  • B3.1.10.

    inward opening doors have lift-off hinges that doors are cut down to allow easy removal in an emergency

  • B3.1.11.

    the cubicle has natural light and ventilation and an electric light

  • B3.1.12.

    there is storage for spare toilet rolls and toilet brushes at a level away from the reach of young children and animals

  • B3.1.13.

    there is provision in the structure of the walls for grab rails

Consider

  • providing a second toilet that may be accessed from outside living areas
  • using a plastic cistern that is less likely to be damaged during transport to remote locations
  • using a 6/3 litre, six litres for a full flush and three litres for a half flush, or approved lower  (4.5/3) dual flush cistern
  • providing a floor waste drain to prevent flooding in the house if the toilet overflows and to make it easier to clean the floor, using a 100mm diameter water charged floor waste drain with falls to the waste point
  • fitting hand rails next to the toilet for the frail aged and people with disabilities
  • fitting wall recessed toilet roll holders
  • providing at least one toilet that complies fully with the local regulations for universal access, or that can be adapted in the future for use by the frail aged and people with disabilities.
  • if the toilet is in a separate cubicle, increasing the clear width from 900mm to 1200mm excluding door swings and fixtures, to improve ease of use by people with disabilities

Real world examples of Solutions

  • B3.1 002 Isolating tap to toilet
  • B3.1 003 toilet suite
  • B3.1 004 grabrails for access

Quality control

  • a dual flush toilet cistern has been provided and that the cistern and toilet pan are compatible
    info-icon
    COMPLETED DESIGN & SPECIFICATION
    DURING CONSTRUCTION
    AT HANDOVER
    FINAL COMPLETION
  • the size of the toilet area and access to the area are adequate
    info-icon
    SKETCH DESIGN
    COMPLETED DESIGN & SPECIFICATION
    AT HANDOVER
    FINAL COMPLETION
    TRADE TEST
  • natural light and ventilation is provided to the toilet area without compromising privacy
    info-icon
    COMPLETED DESIGN & SPECIFICATION
    DURING CONSTRUCTION
    AT HANDOVER
    FINAL COMPLETION
    TRADE TEST
  • a toilet cistern stop valve is installed to allow mainteance of the cistern
    info-icon
    COMPLETED DESIGN & SPECIFICATION
    DURING CONSTRUCTION
    AT HANDOVER
    FINAL COMPLETION
  • a toilet roll holder is securely attached to, or recessed into, the wall and there is high storage for spare toilet rolls
    info-icon
    COMPLETED DESIGN & SPECIFICATION
    AT HANDOVER
    FINAL COMPLETION
  • a hand basin is provided in or nearby the toilet area
    info-icon
    SKETCH DESIGN
    COMPLETED DESIGN & SPECIFICATION
    DURING CONSTRUCTION
    FINAL COMPLETION
  • privacy is possible with a door and snib or privacy lock
    info-icon
    COMPLETED DESIGN & SPECIFICATION
    AT HANDOVER
    FINAL COMPLETION
    TRADE TEST
  • provision has been made in the wall structure of the toilet area for future fitting of grab rails.
    info-icon
    COMPLETED DESIGN & SPECIFICATION
    DURING CONSTRUCTION
    AT HANDOVER
  • the toilet pan and cistern are secure and function
    info-icon
    AT HANDOVER
    FINAL COMPLETION
  • toilet water supply stop valve is fitted and functions
    info-icon
    DURING CONSTRUCTION
    AT HANDOVER
    FINAL COMPLETION
    TRADE TEST
  • the toilet drainage pipes are stable and drain away from the house, and have been tested before backfilling
    info-icon
    DURING CONSTRUCTION
    TRADE TEST
  • inspection openings and vents for the toilet comply with local regulations.
    info-icon
    DURING CONSTRUCTION
    TRADE TEST

Maintenance

As part of cyclical maintenance, check that:

  • the stop valve is operating and is not 'frozen' permanently open due to build up of mineral salts
    info-icon
    Plumber, Local Maintenance Team
    6 Months
  • the toilet can be flushed and the cistern refills in less than three minutes
    info-icon
    Plumber, Local Maintenance Team
    12 Months
  • the pan does not move when pushed gently from side to side and it is not cracked
    info-icon
    Plumber, Local Maintenance Team
    12 Months
  • the door and privacy lock are secure and functioning
    info-icon
    Carpenter, Local Maintenance Team
    6 Months
  • the toilet roll holder is secure and there is a supply of toilet paper that can be stored out of the reach of children and animals
    info-icon
    Carpenter, Local Maintenance Team
    6 Months
  • the floor waste drain is functional
    info-icon
    Plumber, Local Maintenance Team
    12 Months
  • ventilation, such as a window, can be opened and closed and does not compromise privacy.
    info-icon
    Carpenter, Local Maintenance Team
    12 Months

Standard And References

AS/NZS 3500.2:2021 - Plumbing and drainage - Sanitary plumbing and drainage

AS/NZS 3500.0:2021 - Plumbing and drainage - Glossary of terms

Apunipima Cape York Health Council, Centre for Appropriate Technology Inc., Healthabitat and Pormpuraaw Community Council 1997, Pormpuraaw Housing for Health, Towards a Healthy Living Environment for Cape York Communities, project report, p. 35.

Pholeros, P, Rainow, S & Torzillo, P. 1993, Housing for Health, Towards a Healthy Living Environment for Aboriginal Australia, Healthabitat, Newport Beach, p. 45.

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  • Removing waste water safely
    • B3.1 Flush toilets
    • B3.2 House drains
    • B3.3 Septic Systems + on site waste disposal
    • B3.4 Aerated waste water treatment system
    • B3.5 Dry toilets
of houses tested have a working toilet with pan, cistern, flush and refill all OK
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