What makes a toilet accessible? Important features of a wheelchair-friendly loo

What makes a toilet accessible? Important features of a wheelchair-friendly loo

5 min read

Disclaimer: I am not a professional with regards to the specifications for accessible toilets. However, based on personal experience as a mobility aid user, I consider the criteria below important. The information in this post should serve as a guide in combination with advice from an expert in this field.

Accessible toilets are an absolute necessity for many people living with a disability. A crucial part of inclusive spaces, their design features allow wheelchair users and individuals with a range of (physical) disabilities to use the toilet as independently and safely as possible. 

I’ve seen a lot of “wheelchair-friendly” toilets around Amsterdam. The lack of regulations in The Netherlands means these toilets come in all shapes, sizes, and degrees of accessibility. Worst case scenario –bursting for the loo — I’ve rolled into “accessible” toilets to find nothing more than a standard cubicle on the ground floor. Establishments with the best intentions often interpret “accessible” to mean “ground floor” and “step-free“. But it’s so much more than that.

But first: Who are accessible toilets made for?

  • Wheelchair users
  • Individuals with mobility impairments
  • People with bowel and/or bladder conditions
  • People with balance issues, grip issues, or other conditions that make support rails useful
  • People with a range of invisible disabilities who also need to use the facilities
  • … and more

Here are my top 10 important features of a wheelchair-friendly toilet:

1. An accessible door(way)

Doorways of accessible toilets should be wider than normal (min. 80 cm / 32 inches) so that wheelchair users can easily roll in and out. There should be no threshold obstructing the entrance. The door should be lightweight so that it opens with minimal force (believe me, it’s hard to juggle a mobility aid with a heavy door). To easily close the door behind you, there should be a horizontal grab bar along the inside of the door. In addition, the door should always open outwards. This means the door can still be opened easily in an emergency situation if someone has fallen on the toilet floor.

2. Grab rails

Adjustable grab rails inside Hotel Sofitel Legend The Grand, Amsterdam

Grab rails are a basic feature of any accessible toilet. They provide crucial support, stability and balance for anyone transferring onto the toilet. Without them, I’d have to hold onto the toilet seat (yuck!) which is as unhygienic as it is unsafe.

3. A higher toilet seat

For people with reduced mobility like myself, higher toilet seats make it easier to stand up and sit down. By raising the seat of an accessible toilet, transfers to/from a wheelchair are also safer as  the seat height is more equal between the two. 

4. Low mirrors and sinks

A low mirror and sink at the OBA Public Library (Oosterdokskade)

Mirrors and sinks in accessible toilets should be placed at a lower height. This makes them useable for anyone seated in a wheelchair. 

5. The soap, paper towels, hand dryer, hooks, and toilet paper must all be within reach when seated

The soap, paper towels and toilet paper all within reach for wheelchair users at the Hyatt Regency Amsterdam

All amenities in an accessible toilet must be within reach for wheelchair users. This means placing or hanging things at a lower height than in standard toilets

Any paper towels or hand dryers should also be placed close to the sink. This way mobility aid users won’t have to touch their wheelchair, rollator, or crutches with wet hands as they go to dry them off.

6. Easy-to-use tap and bin designs

Easy-to-use taps and bins at the OBA Public Library at Oosterdokskade

The tap in an accessible toilet should be an easy-to-use design that doesn’t require much force. Especially as some disabilities involve difficulty gripping things, the tap should be useable with a closed fist. For this reason, a lever design (see photo above) is much better than a tap with a twistable knob.

Similarly, bins should be easily operated without much force and with a closed fist (see photo above). Foot-pedal bins are a big no no, as anyone with limited or no leg function would find them impossible to use. It’s also important that bins are large enough for multiple users to discreetly dispose of (adult) diapers, stoma bags, or other waste items. 

7. Space

A very spacious accessible toilet inside the Hotel Okura in Amsterdam

An accessible toilet has to be spacious enough to turn and manoeuvre in a wheelchair. At minimum, this should involve a clear and unobstructed wheelchair turning circle of 1.5 metres in diameter. Ideally there should be space on both sides of the toilet (min. 90 cm) so that wheelchair users can transfer onto the toilet seat from either side. The sink should also have adequate space underneath to roll right up to it in a wheelchair.

Remember that the extra space in an accessible toilet is a necessity, not a luxury. It shouldn’t be used as a storage cupboard, filing cabinet, laundry room, or anything else

8. An emergency alarm cord

A bright red emergency cord at the Van der Valk Hotel Amsterdam-Amstel

Every good accessible toilet needs an emergency alarm cord. This ensures that anyone who falls or needs assistance can signal for help. 

Emergency alarm cords should be hung approx. 40 cm from the ground around the full parameter of the toiletThe button to turn of the alarm should also be inside the toilet, so an alerted staff member always has to enter the toilet (and check on anyone inside) before turning it off. 

9. Signposting

Stylish signposting at Persijn in the QO Amsterdam

If you’ve got an accessible toilet, flaunt it! Signposting with a wheelchair icon is especially important so anyone in need of an accessible toilet knows it exists and knows where to find it.

10. Changing Places Facilities

Finally, the best accessible toilets also have Changing Places Facilities. These are specialised toilet facilities for people with more complex needs who are unable to use a standard toilet. It includes a tracking hoist system, an adult sized changing bed, and other features that allow individuals to use the toilet with comfort and dignity. For more details, please see the official Changing Places website. 

Changing Places toilets are crucial for so many people, and yet I haven’t found an example of these facilities in Amsterdam. If you know of Changing Places toilets in Amsterdam, I’d love to hear about it.  

Tip: accessaloo, an app putting wheelchair-friendly loos on the map   

accessaloo is a new app (2019) that allows users to share information and locate accessible toilets around the globe. Click here to go to the accessaloo website, or download the app directly from the App Store or Google Play

Click here to go to Able Amsterdam’s Accessible Toilet Directory.

Click here for more blog posts.

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Josephine Rees

My name is Josephine Rees (1993) and I am Dutch-British. I was raised in Tokyo and Moscow and moved to The Netherlands to study Anthropology & Human Geography in 2012. After briefly living in Thailand and Cambodia, I am now based in Amsterdam. I love exploring Amsterdam and hope to help others by sharing accessibility tips.

This Post Has 8 Comments

  1. Denise

    Great article, I will be sending people who ask me about accessible bathrooms here. #7, “Space” is one of my pet peeves. I have been in several “handicapped bathrooms” that did not have room to turn my wheelchair around, and 1 that didn’t even have room for my wheelchair with the door shut. But of course, we all have our horror stories.

    1. Josephine Rees

      Thanks Denise! Absolutely, we’ve all unfortunately experienced the challenge and disappointment of an “accessible” toilet that isn’t very accessible at all. I think one of the biggest forces of change = education and awareness – specifically, about accessibility features and needs of the target users of an accessible toilet. I’m hoping this article will help spread the word and encourage establishments in Amsterdam and beyond to make small but important changes.

  2. wheelcharcentral

    Its a really nice website. Thanks for giving full information about Transit Wheelchair.

    1. Josephine Rees

      Thank you!

  3. Here we get to know about what makes toilet accessible, information in detail. It helps us to decide that which one is best among its types. I enjoyed reading this article and would suggest others it as well. Thank you for this article! This is really very informative for us.

  4. Barbara Elizabeth Willis

    I wonder what is the ideal SEAT height for disabled access? I am building am access bathroom at my place in India and want to get it right. I have a 5ft 6 inch turning circle, lowish pedestal washbasin and intend to put a foldable shower seat and adjustable shower but the wc ois a stumbling block. If I can buy a higher loo, is there a safe method to install a plinth to raise it without the toilet being wobbly? Also, what height is ideal for the shower seat? I will put large lever taps for everything including the hygiene “faucet”. Please help me get this right first time!

    1. Josephine Rees

      Hi Barbara, thanks for your comment! For the shower seat height, I recommend looking up the regulations set out in official accessibility documents. For example, the ADA (https://tinyurl.com/pddhuxc6) states: “The top of the seat shall be 17 inches (430 mm) minimum and 19 inches (485 mm) maximum above the bathroom finish floor.” Other documents (https://tinyurl.com/2dvrtsab) suggest that “shower seats should be mounted so that the seat deck is 470 cmm to 480 cmm above the floor”.

      If you’re looking into raising your toilet I would inquire with a professional how to permanently raise the toilet seat while keeping it stable and safe to sit on. Another option could be using a (removable) raised toilet seat, which you can fit on any standard toilet seat to raise it without making permanent modifications: https://tinyurl.com/29c32943

      Good luck!

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