Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Date and Time of Inspection

  • Building Asset Number:

Hallways:

Floors

  • Dry and no water standing in the floor?

Tile

  • Are the Tiles in good condition?

  • Tile Condition

Carpet

  • Is the Carpet in good condition?

  • Carpet Condition

Cement

  • Is the Cement in good condition?

  • Cement Condition

Baseboard

  • Are the Baseboards in good condition?

Walls:

General Apperance

  • Is the general appearance of the walls appealing and in good condition?

  • Choose problem:

Light Switches

  • Do the light switches work and properly attached?

Receptacles

  • Do the receptacles work and properly attached?

Wiring

  • Is the wiring properly attached with no exposed wires?

Pictures/Wall Hangings

  • Are pictures and wall hangings straight and properly attached?

Ceilings

  • Is the general appearance of the ceiling appealing and in good condition?

  • Choose problem:

Light Fixtures

  • Is the general appearance of the fixtures appealing and in good condition?

  • Choose problem: Housing

  • Choose problem: Lens or Cover

Safety:

Smoke Alarms

  • Are the smoke alarms in good condition?

Fire Exit Signs

  • Are the Fire Exit Signs in good condition?

  • Choose problem:

Doors:

Doors

  • Is the general appearance of the doors in good condition?

  • Choose problem

  • Are the door stops in good condition?

  • Choose problem:

  • Are the door closures in good condition?

  • Choose problem:

  • Is the panic hardware in good condition?

  • Choose problem:

  • Are the door locks in good condition?

  • Choose problem:

Windows:

  • Is the glass in good condition?

  • Choose problem:

  • Are the window locks in good condition?

  • Choose problem:

  • Does the window move freely?

  • Are the curtains or blinds in good condition?

  • Choose problem:

  • Is the paint or finish in good condition?

  • Choose problem:

Laundry room:

Floors

  • Dry and no water standing in the floor?

Tile

  • Are the Tiles in good condition?

  • Tile Condition

Carpet

  • Is the Carpet in good condition?

  • Carpet Condition

Cement

  • Is the Cement in good condition?

  • Cement Condition

Baseboard

  • Are the Baseboards in good condition?

Walls:

General Apperance

  • Is the general appearance of the walls appealing and in good condition?

  • Choose problem:

Light Switches

  • Do the light switches work and properly attached?

Receptacles

  • Do the receptacles work and properly attached?

Wiring

  • Is the wiring properly attached with no exposed wires?

Pictures/Wall Hangings

  • Are pictures and wall hangings straight and properly attached?

Ceilings

  • Is the general appearance of the ceiling appealing and in good condition?

  • Choose problem:

Light Fixtures

  • Is the general appearance of the fixtures appealing and in good condition?

  • Choose problem: Housing

  • Choose problem: Lens or Cover

Safety:

Smoke Alarms

  • Are the smoke alarms in good condition?

Fire Exit Signs

  • Are the Fire Exit Signs in good condition?

  • Choose problem:

Doors:

Doors

  • Is the general appearance of the doors in good condition?

  • Choose problem

  • Are the door stops in good condition?

  • Choose problem:

  • Are the door closures in good condition?

  • Choose problem:

  • Is the panic hardware in good condition?

  • Choose problem:

  • Are the door locks in good condition?

  • Choose problem:

Windows:

  • Is the glass in good condition?

  • Choose problem:

  • Are the window locks in good condition?

  • Choose problem:

  • Does the window move freely?

  • Are the curtains or blinds in good condition?

  • Choose problem:

  • Is the paint or finish in good condition?

  • Choose problem:

Lounge Area:

Floors

  • Dry and no water standing in the floor?

Tile

  • Are the Tiles in good condition?

  • Tile Condition

Carpet

  • Is the Carpet in good condition?

  • Carpet Condition

Cement

  • Is the Cement in good condition?

  • Cement Condition

Baseboard

  • Are the Baseboards in good condition?

Walls:

General Apperance

  • Is the general appearance of the walls appealing and in good condition?

  • Choose problem:

Light Switches

  • Do the light switches work and properly attached?

Receptacles

  • Do the receptacles work and properly attached?

Wiring

  • Is the wiring properly attached with no exposed wires?

Pictures/Wall Hangings

  • Are pictures and wall hangings straight and properly attached?

Ceilings

  • Is the general appearance of the ceiling appealing and in good condition?

  • Choose problem:

Light Fixtures

  • Is the general appearance of the fixtures appealing and in good condition?

  • Choose problem: Housing

  • Choose problem: Lens or Cover

Safety:

Smoke Alarms

  • Are the smoke alarms in good condition?

Fire Exit Signs

  • Are the Fire Exit Signs in good condition?

  • Choose problem:

Doors:

Doors

  • Is the general appearance of the doors in good condition?

  • Choose problem

  • Are the door stops in good condition?

  • Choose problem:

  • Are the door closures in good condition?

  • Choose problem:

  • Is the panic hardware in good condition?

  • Choose problem:

  • Are the door locks in good condition?

  • Choose problem:

Windows:

  • Is the glass in good condition?

  • Choose problem:

  • Are the window locks in good condition?

  • Choose problem:

  • Does the window move freely?

  • Are the curtains or blinds in good condition?

  • Choose problem:

  • Is the paint or finish in good condition?

  • Choose problem:

Furniture:

  • Is the television operational and properly mounted?

  • Are the floor/table lamps operational?

Utility/Mechanical Room:

  • Is the floor clean, dry, and no standing water?

  • Are there any flammable products in the room?

  • Is there 3' of clearance in front of all EDP's?<br>Do the EDP doors have all screws and close and lock securely?

  • Is there any loose or dangling wires?

  • Are all switches and receptacles properly mounted and functional?

Doors

  • Is the general appearance of the doors in good condition?

  • Choose problem

  • Are the door stops in good condition?

  • Choose problem:

  • Are the door closures in good condition?

  • Choose problem:

  • Is the panic hardware in good condition?

  • Choose problem:

  • Are the door locks in good condition?

  • Choose problem:

Bathrooms:

Floors

  • Dry and no water standing in the floor?

Tile

  • Are the Tiles in good condition?

  • Tile Condition

Carpet

  • Is the Carpet in good condition?

  • Carpet Condition

Cement

  • Is the Cement in good condition?

  • Cement Condition

Baseboard

  • Are the Baseboards in good condition?

Walls:

General Apperance

  • Is the general appearance of the walls appealing and in good condition?

  • Choose problem:

Light Switches

  • Do the light switches work and properly attached?

Receptacles

  • Do the receptacles work and properly attached?

Wiring

  • Is the wiring properly attached with no exposed wires?

Pictures/Wall Hangings

  • Are pictures and wall hangings straight and properly attached?

Ceilings

  • Is the general appearance of the ceiling appealing and in good condition?

  • Choose problem:

Light Fixtures

  • Is the general appearance of the fixtures appealing and in good condition?

  • Choose problem: Housing

  • Choose problem: Lens or Cover

Safety:

Smoke Alarms

  • Are the smoke alarms in good condition?

Fire Exit Signs

  • Are the Fire Exit Signs in good condition?

  • Choose problem:

Doors:

Doors

  • Is the general appearance of the doors in good condition?

  • Choose problem

  • Are the door stops in good condition?

  • Choose problem:

  • Are the door closures in good condition?

  • Choose problem:

  • Is the panic hardware in good condition?

  • Choose problem:

  • Are the door locks in good condition?

  • Choose problem:

Shower:

  • Are the shower fixtures present, operational, and with no leaks?

  • Are the shower stall curtain/door properly installed, secure, and capable if locking if it is a door?

Sinks:

  • Are the sink fixtures present, operational, and with no leaks?

  • Are the countertops secure and is the laminate in good condition?

  • Are all soap containers secured to walls and operational?

  • Are all electric hand dryers secured to walls and operational?

  • Are all mirrors secured to walls and has no cracks or breaks?

Commodes:

  • Are the commodes secured to the floor and operational with no cracks or leaks?

  • Is the commode seats secured to the commode with no cracks, breaks, or splinters?

Student rooms:

Floors

  • Dry and no water standing in the floor?

Tile

  • Are the Tiles in good condition?

  • Tile Condition

Carpet

  • Is the Carpet in good condition?

  • Carpet Condition

Cement

  • Is the Cement in good condition?

  • Cement Condition

Baseboard

  • Are the Baseboards in good condition?

Walls:

General Apperance

  • Is the general appearance of the walls appealing and in good condition?

  • Choose problem:

Light Switches

  • Do the light switches work and properly attached?

Receptacles

  • Do the receptacles work and properly attached?

Wiring

  • Is the wiring properly attached with no exposed wires?

Pictures/Wall Hangings

  • Are pictures and wall hangings straight and properly attached?

Ceilings

  • Is the general appearance of the ceiling appealing and in good condition?

  • Choose problem:

Light Fixtures

  • Is the general appearance of the fixtures appealing and in good condition?

  • Choose problem: Housing

  • Choose problem: Lens or Cover

Safety:

Smoke Alarms

  • Are the smoke alarms in good condition?

Fire Exit Signs

  • Are the Fire Exit Signs in good condition?

  • Choose problem:

Doors:

Doors

  • Is the general appearance of the doors in good condition?

  • Choose problem

  • Are the door stops in good condition?

  • Choose problem:

  • Are the door closures in good condition?

  • Choose problem:

  • Is the panic hardware in good condition?

  • Choose problem:

  • Are the door locks in good condition?

  • Choose problem:

Windows:

  • Is the glass in good condition?

  • Choose problem:

  • Are the window locks in good condition?

  • Choose problem:

  • Does the window move freely?

  • Are the curtains or blinds in good condition?

  • Choose problem:

  • Is the paint or finish in good condition?

  • Choose problem:

Furniture:

  • Is all furniture in good condition with no breaks, tears, sagging, or Raveling?

  • Are all floor/table lamps working and I. Good condition?

  • Choose problem:

  • Name and signature of Auditor

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