Title Page

  • Conducted on

  • Room Number:

  • Check by (HK):

  • Check by (ENG):

  • Check by (LP):

Entrance

  • Floor

  • Wall

  • DND Indicator

  • Bell Button

  • Entrance Door

  • Door Closer

  • Door Viewer

  • Evacuation Map

Foyer

  • Ceiling

  • Lighting

Bed Room

  • Smoke Detector

  • Lamp Switch

  • Bed and Pillows

  • Bed and Head Board

  • Lazy Chair and Ottoman (King Only)

  • Dinning Table/Chair

  • Sanitizing Kit

  • Notepad and Pencil

  • Tray Amenities

  • Wastebin

  • Telephone

  • TV and Remote

  • Bed Side Table

  • Alarm Clock

  • Air Condition

  • AC Panel

  • Slippers

  • Laundry Bag and Ticket

Balcony

  • Secondary Lock

  • Balcony Lamp

  • Balcony Chair

  • Balcony Table

Bathroom

  • Door and Door Lock

  • Exhaust

  • Faucet cold water

  • Faucet hot water

  • Wash Basin Stopper

  • Drain

  • Toilet Tank

  • Flusher

  • Toilet Bowl Seat

  • Toilet Bowl Cover

  • Toilet Bowl Drain

  • Toilet Paper

  • Waste Bin

  • Shower Head

  • Shower Hose

  • Shower Holder

  • Cold Water

  • Hot Water

  • Door/Glass Leaf

  • Soap Holder

  • Grab Bar

  • Curtain Stick

  • Curtain Rail

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.