CHITL-645BH | GCPM

• Room Number

• Conducted on

  Date

• Prepared by

• Other

ZONE 1 - BATH

• Tub Stopper

  Yes

  No

  N/A

• Accessible Grab Bars

  Yes

  No

  N/A

• Shower Tile and Soap Dish

  Yes

  No

  N/A

• Shower / Tub Caulking

  Yes

  No

  N/A

• Shower / Tub Grout

  Yes

  No

  N/A

• Shower Curtain Rod

  Yes

  No

  N/A

• Shower Curtain (like new)

  Yes

  No

  N/A

• Exhaust Vent

  Yes

  No

  N/A

• Toilet Flushes

  Yes

  No

  N/A

• Toilet Seat

  Yes

  No

  N/A

• Toilet Caulking

  Yes

  No

  N/A

• Toilet Paper Holder

  Yes

  No

  N/A

• Towel Racks

  Yes

  No

  N/A

• Sink Faucet

  Yes

  No

  N/A

• Sink Faucet Aerator

  Yes

  No

  N/A

• Sink Stopper

  Yes

  No

  N/A

• Vanity and Sink Caulking

  Yes

  No

  N/A

• Vanity Counter, Fixtures, and Sink spotless

  Yes

  No

  N/A

• GFCI Receptacle

  Yes

  No

  N/A

• Light Bulbs and Fixture

  Yes

  No

  N/A

• Mirror

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Ceiling Paint

  Yes

  No

  N/A

• Bathroom Floor and Base

  Yes

  No

  N/A

• Door Frame Paint

  Yes

  No

  N/A

ZONE 2 - LIVING

• TV Remote

  Yes

  No

  N/A

• TV Channels

  Yes

  No

  N/A

• TV Reception and Sound

  Yes

  No

  N/A

• TV Connections

  Yes

  No

  N/A

• Telephone - Dial Tone

  Yes

  No

  N/A

• Telephone - Signage/Faceplate

  Yes

  No

  N/A

• Alarm Clock Radio Time

  Yes

  No

  N/A

• Sheers/Blackout Drape Hardware

  Yes

  No

  N/A

• Connecting Door Lock

  Yes

  No

  N/A

• Smoke Detector

  Yes

  No

  N/A

• "No Hanger" Sticker is present on Smoke Detector (Floor 2-6 ONLY)

  Yes

  No

  N/A

• Switch / Outlet Covers

  Yes

  No

  N/A

• Mirror(s)

  Yes

  No

  N/A

• Artwork

  Yes

  No

  N/A

• Carpet

  Yes

  No

  N/A

• Carpet Edges Free of Dust

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Table and Desk - Wood

  Yes

  No

  N/A

• Night Stands - Wood

  Yes

  No

  N/A

• Upholstery

  Yes

  No

  N/A

• Lamps / Shades / Bulbs

  Yes

  No

  N/A

• Bed Skirt

  Yes

  No

  N/A

• Headboard

  Yes

  No

  N/A

ZONE 3 - BALCONY

• Balcony - Sliding Glass Doors

  Yes

  No

  N/A

• Balcony -Door Hardware / Security Bar / and Door Lock

  Yes

  No

  N/A

• Balcony Condition

  Yes

  No

  N/A

• Balcony Furniture

  Yes

  No

  N/A

ZONE 4 - HALL

• Closet Doors

  Yes

  No

  N/A

• Ironing Board Condition

  Yes

  No

  N/A

• Iron Holder

  Yes

  No

  N/A

ZONE 5 - ENTRY

• Welcome Light

  Yes

  No

  N/A

• Entry Door Lock

  Yes

  No

  N/A

• Night Latch and Door Protector

  Yes

  No

  N/A

• Door Locks / Handles / Hinges

  Yes

  No

  N/A

• Door Security Viewer

  Yes

  No

  N/A

• Door Bumpers / Seals

  Yes

  No

  N/A

• Entry / Connecting Door Finish

  Yes

  No

  N/A

• Entry / Connecting Door Stopper

  Yes

  No

  N/A

• Door Closer and Operation

  Yes

  No

  N/A