Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

page 1

  • Room Number

  • Notes:

  • Entrance Door

  • Door Exterior. Paint, Dust Free, Room Number, General Condition

  • Photo evidence

  • Door Interior. Paint, Dust Free, General Condition

  • Photo evidence

  • Door Frame. Paint, Damage, General Condition

  • Photo evidence

page 2

  • Electronic Lock, Condition, Visible Damage

  • Photo Evidence

  • Secondary Lock, Condition, Visible Damage

  • Photo Evidence

  • Door Viewer (Peephole)

  • Door Closer, Condition, Visible Damage

  • Photo Evidence

  • Emergency Exit Plan/Map

page 3

  • Entry Light, Switch, Light Bulb, General Condition

  • Photo Evidence

  • Door Hardware, Locks, Kick Plates, Brass, Signs

  • Photo Evidence

  • Door Threshold, Carpet, Carpet Strip

  • Photo Evidence

  • Walls-Interior Room Decoration

page 4

  • Baseboards and Corner Guards, Paint, Scuffs, Paint Chips and Dents

  • Photo Evidence

  • Paint and Wallpaper, Scuffs, Chipping, Seams, Torn Paper

  • Photo Evidence

  • Ceilings, Damp, Cracks, Wallpaper, Leaks

  • Photo Evidence

  • Carpet, General Condition, Snags, Cleanliness

  • Photo Evidence

page 5

  • Furniture

  • Mirrors, Streak Free, Spot Free, Dust Free (around frames and glass)

  • Photo Evidence

  • Dresser/Desk, General Condition, Tops Clean and Free of Stains, Drawers in Good Condition, Furniture Edges Free of Nicks and Chips, Inside Drawers Clean and Stainfree

  • Photo Evidence

  • Tables, Tops Clean and Stain Free, Legs Scuff and Chip Free, Scratch Free

  • Photo Evidence

  • Luggage Racks, Good General Condition, Straps Intact, Legs

page 6

  • Chairs, General Condition, Fabric Condition, Legs

  • Photo Evidence

  • Nightstands, General Condition, Scratches, Surface Top, Stains, Drawers, Sides and Corners Nick and Chip Free

  • Photo Evidence

  • Sofa, General Condition, Fabric Condition, Cleanliness, Legs

  • Photo Evidence

  • Bed, General Condition, Headboard/Posts Clean and Dust Free, Fabrics and Duvets, Valances Clean, Stain Free, Good Condition, Decorative Pillows and Throws Clean and Stain Free

  • Photo Evidence

page 7

  • Pictures/Wall Art (clean glass/dust free),Waste Basket, Tea/Coffee Trays, General Condition, Clean

  • Photo Evidence

  • Clothes Closet/Wardrobe, General Condition, Doors, Carpet, Cobwebs

  • Photo Evidence

  • Telephone Check

  • Telephone Cleanliness

  • Telephone Cord

  • Telephone Wall Receptacle

  • Photo Evidence

page 8

  • TV/Radio

  • TV/Cable Wall Receptacle

  • Antenna/Cable Connectors

  • TV Serial Number

  • TV Check/Channel Check

  • Radio Check

  • Remote Control, General Condition, Cleanliness

  • TV Cleanliness , Dust and Spot Free, No Finger Prints, Stains, Scratches

  • Add media

Page 9

  • Lamps, Switches, Outlets

  • Wall Switches, General Condition, Cleanliness

  • Lamp Switches

  • Lamp Sockets

  • Light Bulbs

  • Lamp Shades, General Condition, Cleanliness , Dust Free

  • Lamp Bases, General Condition, Cleanliness

  • Lamp Fixtures

  • Plugs/Wires, General Conditions

  • Switch/Receptacle Cover Plates

  • Photo Evidence

page 10

  • Windows

  • Window General Condition, Cleanliness

  • Window Tracks, General Condition, Cleanliness

  • Window Second Locks

  • Weather Stripping, General Condition

  • Window Seal

  • Window Sills, General Condition, Cleanliness inside and out

  • Window Day Blinds and Surrounding Curtains, General Condition, Cleanliness

  • Photo Evidence

page 11

  • Bathroom

  • Wash Basin, General Condition, Cleanliness, Scratches/Chips

  • Photo Evidence

  • Faucet/Wash Basin Fixture, General Condition, Cleanliness, Build up around base

  • Photo Evidence

  • Bath Tub, General Condition, Cleanliness, Chips/Scratches

  • Photo Evidence

  • Shower and Shower Walls, General Condition, Cleanliness, Tile and Caulking

  • Photo Evidence

page 12

  • Shower Fixtures, General Condition, Cleanliness

  • Photo Evidence

  • Overflow Cover, General Condition, Cleanliness

  • Photo Evidence

  • Drain ring/Pop-up

  • Toilet (lever, lid, seat, bolts, tank). General Condition, Cleanliness (including pipe work)

  • Photo Evidence

  • Toilet bolts

page 13

  • Toilet Caulking, General Condition, Mould and Mildew Free

  • Photo Evidence

  • Toilet Paper Holder, General Condition, Secure to Wall

  • Facial Tissues Holder, Cleanliness

  • Photo Evidence

  • Vanity, General Condition, Cleanliness, Damage/Stains

  • Photo Evidence

  • Vanity Lighting, Cleanliness, Light Bulbs

page 14

  • Vanity Outlet/Plug In

  • Towel Bars, General Condition, Cleanliness

  • Hair Dryer, General Condition, Cleanliness

  • Robe Hook, General Condition

  • Wall Switch, General Condition, Cleanliness

  • Art Work, General Condition, Cleanliness

page 15

  • Waste Basket, General Condition, Cleanliness

  • Shower Rod, General Condition, Cleanliness

  • Shower Curtain, General Condition, Cleanliness

  • Air Vent Grill, General Condition, Cleanliness

  • Photo Evidence

  • Ceiling/Wall Lights Fixtures, General Condition, Cleanliness

  • Vanity Mirror, General Condition, Dust/Streak/Spot Free, Cleanliness Behind Taps

  • Add media

  • Photo Evidence

page 16

  • Bathroom Door, General Condition, Cleanliness Front/Back, Hardware, Paint Free From Chips/Scuffs

  • Photo Evidence

  • Bathroom Floor, General Condition, Cleanliness, Grouting, Free of Mould/Mildew, Broken/Cracked Tiles

  • Photo Evidence

  • Bathroom Walls/Ceilings, General Condition, Mould/Mildew Free, Paint Condition

  • Photo Evidence

  • Select date

  • Duty Managers Signature

  • Additional Notes:

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.