Health Implications of not having access to toilets at work

The lack of access to safe, clean, and appropriate toilet facilities, and the lack of opportunity for workers to access them during their working day, is a human rights issue, an occupational health and safety issue, an equality issue, and a public health issue.
   Download Now

Links and further references included in this document.

General articles

Improving the Safety, Health, and Productivity of Transit Operators Through Adequate Restroom Access (2020) Chapter: Chapter 1 - Transit Operator Restroom Access: Issues and Good Practice

The ITF Transport Workers’ Sanitation Charter

Lack of toilet access ‘risks transport workers’ health’

Some health risks associated with lack of prompt access to appropriate toilets and washing facilities (ITF)

Japan bullet train driver disciplined for leaving controls to go to toilet



COVID-19: faecal–oral transmission?

HSE Cleaning, hygiene and handwashing to make your workplace COVID-secure

COVID-19: epidemiology, virology and clinical features (



UTIs During Pregnancy (WebMD)

All About Frequent Urination in Pregnancy

HSE New and expectant mothers who work - A brief guide to your health and safety


Gender and equalities

Understanding Non-Binary People: How to Be Respectful and Supportive

Equality of toilet provision – The Equality Act 2010


Invisible disability

Invisible disabilities in the workplace

On the Footplate with Crohn’s Disease - Disability History Month

What is an invisible disability?

Invisible Disabilities: List and General Information, includes Colitis, Crohns disease, IBS, etc

How to Support Hidden Disabilities in the Workplace


Bladder health

A healthy bladder: a consensus statement

Overactive bladder in men: a practical approach


Menstruation and menopause

Top menstrual cycle symptoms: Clue survey results

Four ways your period messes with your toilet habits

Endometriosis Facts and Figures

After the Menopause

ASLEF: menopause in the workplace campaign



Drink Up! Water Supports the Body and May Help Reduce Cancer Risk

Physical Inactivity, Water Intake and Constipation as Risk Factors for Colorectal Cancer among Adults in Jordan


'Holding it in'

What happens to your body when you hold on to go to the toilet – it's not good

Stop holding it in! 4 bodily functions you should let out

Holding in your urine for long is hazardous to health

Chronic constipation linked to increased risk of colorectal cancer


Organisations providing support and advice

British Toilet Association

Bladder and Bowl Community



Urination - Wikipedia

Defacation - Wikipedia

Faecal Impaction - Wikipedia

Fecal–oral route - Wikipedia


Health Services

NHS England

NHS Wales

NHS Scotland


Information about specific conditions

NHS - Urinary tract infections

NHS - Kidney stones

NHS - Constipation

NHS - Interstitial cystitis

NHS - Fibroids

NHS - Irritable Bowel Syndrome

NHS - Ulcerative Colitis

NHS - Prostate Enlargement

NHS - Diverticular Disease and Diverticulitis

NHS - Crohn's Disease

NHS - Prostatitis

NHS - Toxis Shock Syndrome

NHS - Endometriosis

Wikipedia - Overactive Bladder


Benign Prostatic Hyperplasia