Josette Bendickson

1st floor west wing

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Title Page

Document No.
1st floor west wing
Lobby
Conducted on
Prepared by
1st floor west wing
Personnel

Chairs
Tables
Billboards(wooden)
Reindeer on wall
Blood pressure machine
Counter tops
Cough stations
Orange feet rest
Glass cases
Kids toy
Tv
Cellphone charging stations
Trash
Appointment desk
Med safe
Nemo Q
Pharmacy counter
Pharmacy Barrier
Windows cleaned
Ottoman
ATM

Josette Bendickson

1st floor west wing

Use this Template

Print as PDF

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.