Title Page
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Renter/Organization
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Permit Number (if applicable)
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Inspection Conducted on
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Facility Attendant Name (First Initial, Last Name)
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User Account
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Facility
- Activity Center Lg Room w/ Kitchenette
- Activity Center Sm Room
- Activity Center - Entire Facility
- Senior Center w/Kitchenette
- REC Gymnasium
- REC Upstairs Studio
- REC Downstairs Studio
- REC Racquetball Courts
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Reservation Start Time
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Reservation End Time
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Security Required
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Name of CPD w/ badge No.
Opening Checklist
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Did you conduct a facility walk-through and found the facility to be in satisfactory condition before the renters arrive?
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Was the lobby area clean and ready to accept the renters?
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Did you unlock the supply closet so renter could access tables and chairs?
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Was the room clean and ready for the rental?
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Restrooms were clean and in an orderly fashion.
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Kitchen was clean and in an orderly fashion. Fridge is empty.
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Staff checked for appropriate cleaning supplies and bathroom supplies were on hand.
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Did the renter arrive at scheduled time?
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Did you greet and introduce yourself to the the renter?
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Did you provide a hard copy of the Permit and renter guidelines and cleaning/checkout list to the renter?
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Did you confirm clean up and exit time with renter?
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Lock all doors of unauthorized usage.
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Any concerns or existing damages were documented.
Closing Checklist
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Entire rental group exited the building at the scheduled time.
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Tables and chairs were wiped clean.
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Floors were swept and mopped
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All personal items were removed from the building.
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No decorations or remnants were left behind.
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No damage was made to the property
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Tables and chairs were stored properly into storage closet.
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All garbage was removed from the building to the dumpster.
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Fridge was emptied of personal contents.
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All kitchen surfaces were wiped clean from spills.
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Kitchen floor was swept and mopped.
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Parking lot was free of event trash or debris.
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Checked all exterior doors are pulled shut and locked.
Were there any guidelines or restrictions that were violated?
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Please list. Type NA if not applicable.
Permit Holder or Representative Check Out Signature of Acknowledgement
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Add signature