Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

ROOM 1

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 2

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 3

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 4

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 5

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 6

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 7

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 8

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 9

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 10

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 11

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 12

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 13

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 14

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 15

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 16

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 17

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 18

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 19

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 20

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 21

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 22

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 23

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 24

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 25

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

ROOM 26

  • IS THE ROOM CLEAN?

  • Is the flooring in good condition?

  • Are the appliances in working order?

CORRIDORS

  • Are corridors clean?

  • Are they free of obstrctions?

LAUNDRY

  • Is the area clean?

  • Is the area free from obstruction?

ELECTRICAL CUPBOARDS

  • Is the area free from obstruction?

  • Is the area in good condition?

LOUNGE

  • Is the room Clean?

COSHH CUPBOARD

  • Are products stored correctly?

STORAGE

  • Is storage organised?

OFFICE

  • Any issues?

STAFF KITCHEN

  • Any issues?

OUTSIDE PREMISES

  • Is the area presentable?

  • Are there any obstructions along paths?

OTHER

  • Name

  • Date

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