Intro

  • Site

  • Conducted on

  • Prepared by

  • Conducted with

  • Attendance requested by

  • Date request made

Incident

Information about the guest and incident

  • Name of guest

  • Date of incident

  • Accident report form completed by

  • Select date

  • Brief description of accident report form description of accident

  • Did guest get a receipt at check in?

  • Does receipt mention availability of bath mats at reception?

  • Add media

Hotel and room

Information about the hotel and guest's room

  • Age of hotel

  • Number of rooms

  • Number of floors

  • Has hotel had a refurbishment?

  • How long ago?

  • Was bath in guests room included?

  • Guest's room number

  • Location of guest's room (description) and type e.g. Standard, UA

  • Picture of room

Bath

Information about the bath room and bath within the guests room

  • Condition of bathroom and flooring?

  • Description of flooring type

  • Picture of bathroom

  • Approx. Age of bath?

  • Bath condition

  • Does bath have I built grab rails?

  • If yes, where?

  • Towel bath mat available to stand on when exiting bath?

  • Pictures of bath to show location grab rails and towel bath mat

  • Is shower head adjustable for angle?

  • Description of anti-slip coating within bath and coverage e.g. Circles in a circle approx. 1/3 of bath floor surface

  • Condition and performance of anti-slip coating when dry

  • Condition and performance of anti-slip coating when wet

  • Picture of anti slip surface as is

  • Picture of anti slip impression on paper in place in bath

  • Title of anti-slip impression

  • Description of any nonstandard features within the bathroom e.g. Fixed shower screen, half bath

  • Picture of any non standard features

Cleaning

Information about the cleaning of the guests room prior to the incident

  • Was room cleaned by housekeeping prior to guest check in?

  • Picture of guest room cleaning confirmation

  • Who cleaned the room prior to guest check in ( full name - title)

  • Is bath cleaned as per policy?

  • Who advised this (full name - title)

  • Is there evidence of above named persons training in how to clean baths?

  • Picture of training record if available

  • Who checked the room prior to guest check in ( full name - title)

  • Who dilutes the BathCare 61 ready for use?

  • If other, who?

Customer service

Information about general customer service and guest communication

  • Are bath mats available at reception upon request?

  • Who advised this (full name - title)

  • Is there an 'Essentials Guide' leaflet available in the room and does it specifically state the availability of bath mats?

  • Picture of 'Essential Guide' in place in room

  • Picture of specific text advising of bath mat availability

  • Is there a 'Luggage Tag' info advisory hanging in the bathroom including advice on the availability of bath mats on request?

  • Picture of 'Luggage Tag' info advisory hanging location

  • Picture of specific text advising of bath mat availability

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.