Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Hallways:
Floors
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Dry and no water standing in the floor?
Tile
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Are the Tiles in good condition?
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Tile Condition
- Cracked
- Loose
- Broken
- Missing
- No Problems Found
Carpet
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Is the Carpet in good condition?
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Carpet Condition
- Loose, Sagging, Bulging
- Stained
- Cut or Torn
- Raveled
- No Problems Found
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Comments:
Cement
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Is the Cement in good condition?
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Cement Condition
- Chipped
- Cracked
- Pitted
- No Problems Found
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Comments:
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Is the panic hardware in good condition?
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Choose problem:
- Missing
- Loose
- Broken
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Comments:
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Is the general appearance of the ceiling appealing and in good condition?
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Choose problem:
- Holes
- Stained
- Wet
- Mold/Mildew
- Broken Tiles
- Rusty Grid
- Bent Grid
- Missing Tile
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Comments:
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Is the general appearance of the ceiling appealing and in good condition?
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Choose problem:
- Holes
- Stained
- Wet
- Mold/Mildew
- Broken Tiles
- Rusty Grid
- Bent Grid
- Missing Tile
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Comments:
Baseboard
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Are the Baseboards in good condition?
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Comments:
Walls:
General Apperance
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Is the general appearance of the walls appealing and in good condition?
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Choose problem:
- Graffiti
- Holes
- Dirty
- Scarred
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Comments:
Light Switches
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Do the light switches work and properly attached?
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Comments:
Receptacles
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Do the receptacles work and properly attached?
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Comments:
Wiring
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Is there any loose wiring or dangling wires?
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Comments:
Pictures/Wall Hangings
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Are pictures and wall hangings straight and properly attached?
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Comments:
Lint/Dust
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Are that walls and floor lint/dust free?
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Comments:
Ceilings
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Is the general appearance of the ceiling appealing and in good condition?
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Choose problem:
- Holes
- Stained
- Wet
- Mold/Mildew
- Broken Tiles
- Rusty Grid
- Bent Grid
- Missing Tile
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Comments:
Light Fixtures
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Is the general appearance of the fixtures appealing and in good condition?
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Choose problem: Housing
- Improperly Attached
- Needs Cleaning
- Bulb out
- Ballast not making a noise
- Needs painting
- N/A
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Choose problem: Lens or Cover
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Comments:
Safety:
Smoke Alarms
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Are the smoke alarms in good condition?
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Choose problem:
- Broken
- Missing
- In Alarm
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Comments:
Fire Exit Signs
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Are the Fire Exit Signs in good condition?
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Choose problem:
- Broken
- Missing
- In Alarm
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Comments:
Doors:
Doors
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Is the general appearance of the doors in good condition?
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Choose problem
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Comments:
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Are the door stops in good condition?
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Choose problem:
- Broken
- Missing
- Needed
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Comments:
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Are the door closures in good condition?
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Choose problem:
- Out of adjustment
- Disconnected
- Missing
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Comments:
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Is the panic hardware in good condition?
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Choose problem:
- Missing
- Loose
- Broken
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Comments:
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Are the door locks in good condition?
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Choose problem:
- Broken
- Missing
- Required
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Comments:
Windows:
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Is the glass in good condition?
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Choose problem:
- Broken
- Cracked
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Comments:
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Are the window locks in good condition?
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Choose problem:
- Not Operational
- Securely fastens the window
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Comments:
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Does the window move freely?
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Comments:
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Are the curtains or blinds in good condition?
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Choose problem:
- Dirty
- Torn
- Broken
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Comments:
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Is the paint or finish in good condition?
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Choose problem:
- Peeling/Chipped
- Needs Cleaned
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Comments:
Equipment:
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Is the exhaust fan operational?
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Comments:
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Are the exhaust vents attached to the dryer?
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Comments:
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All joints in vent pipes connected using screws (minimum of 2)?
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Comments:
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Are the interior lint screens installed, clean, and properly fitted?
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Choose problem:
- Dirty
- Improperly Fitted
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Comments: