Information

  • Jamatkhana/Facility:

  • Conducted on

  • Prepared by

  • Location

Visual Inspection

Visual Inspection Items

  • AC Filters:

  • Work Needed (Please Describe):

  • Work Needed (Please Describe):

  • Comments:

  • Carpet/Floor Condition:

  • Work Needed (Please Describe):

  • Work Needed (Please Describe):

  • Comments:

  • Doors/Locks:

  • Work Needed (Please Describe):

  • Work Needed (Please Describe):

  • Comments:

  • Emergency Lights:

  • Work Needed (Please Describe):

  • Work Needed (Please Describe):

  • Comments:

  • Exit Blockage (Doors):

  • Work Needed (Please Describe):

  • Work Needed (Please Describe):

  • Comments:

  • Exit Lights:

  • Work Needed (Please Describe):

  • Work Needed (Please Describe):

  • Comments:

  • Exterior Landscaping:

  • Work Needed (Please Describe):

  • Work Needed (Please Describe):

  • Comments:

  • Fans/Lights:

  • Work Needed (Please Describe):

  • Work Needed (Please Describe):

  • Comments:

  • Fire Extinguishers:

  • Work Needed (Please Describe):

  • Comments:

  • Lights (Inside):

  • Work Needed (Please Describe):

  • Work Needed (Please Describe):

  • Comments:

  • Lights (Outside):

  • Work Needed (Please Describe):

  • Work Needed (Please Describe):

  • Comments:

  • Sound Quality/PA System:

  • Work Needed (Please Describe):

  • Work Needed (Please Describe):

  • Comments:

  • Thermostats:

  • Thermostat -
  • Working Condition:

  • Work Needed (Please Describe):

  • Work Needed (Please Describe):

  • Comments:

  • Water Fountain(s):

  • Water Fountain -
  • Working Condition:

  • Work Needed (Please Describe):

  • Work Needed (Please Describe):

  • Comments:

Monthly Services

  • AC/Heating Service:

  • Date of Service:

  • Verified By (Please Sign):

  • Comments:

  • Carpet Shampoo

  • Date of Service:

  • Verified By (Please Sign):

  • Comments:

  • Grease Trap:

  • Date of Service:

  • Verified By (Please Sign):

  • Comments:

  • Saaf Safai (Schedule/Frequency):

  • Date of Service:

  • Verified By (Please Sign):

  • Comments:

  • Pest Control Visit:

  • Date of Service:

  • Verified By (Please Sign):

  • Comments:

  • Refrigeration:

  • Refrigeration/Freezer Equipment:

  • Unit -
  • Type of Unit:

  • Date of Service:

  • Verified By (Please Sign):

  • Comments:

  • Vacuum Cleaner(s):

  • Vacuum Cleaners:

  • Vacuum -
  • Make/Model:

  • Date of Service:

  • Verified By (Please Sign):

  • Comments:

Additional Comments:

  • Additional Comments:

  • Inspected By (Please Sign):

  • Local IMARA Management Team Member (Please Sign):

  • Your next Visual Inspection will be held again in 30 days

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