Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Cleanliness

  • Is the Room Clean?

Painting - Walls & Ceiling

  • Wall 1 Condition

  • Wall 2 Condition

  • Wall 3 Condition

  • Wall 4 Condition

  • Ceiling Condition

  • Under Desk Condition

  • Skirting Condition

  • Flooring Condition

Doors, Windows & Lighting

  • Spy hole In Place and Secure?

  • Window - Is the Window Safe, Secure and Free from Damage? Check Glazing, Frame, Handles and Hinges.

  • Door Stop In Place and Secure?

  • Curtains - General Condition

  • Curtains - Hooks Missing or Damage?

  • Door Closure Working and free from Damage?

  • All Lighting Working?

Furniture

  • Bed - Mattress Condition

  • Bed - Frame secure and free from damage?

  • Deskchair - In place and free from damage?

  • Bedroom Bin - In place and free from damage?

Waste

  • Any Excessive Waste to remove?

  • Any Personal Belongings to Store/Report to Uni?

  • Any Personal Belongings to dispose via Charity Bins?

Any Other Issues

  • Additional Issue 1?

  • Additional Issue 2?

  • Additional Issue 3?

  • Additional Issue 4?

  • Additional Issue 5?

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.