Level 1 - Audit RM.2

Clayfield House Room Audit

Auditors Information

Name:

Position / Title:

Signature of Auditor: (type name here then press Tap To Sign) Tap to Sign >
Witness Signature:

Add Room Number:

Doors, Locks and Latches:

Doors, Latches, Locks: START

Door lock working and undamaged

Hand wash Basin undamaged and in working order?

Door in working order, undamaged, clean?

Walls, Floors and Windows:

Walls, Floors and Windows

Walls clean and un-damaged

Floors and floor coverings clean, undamaged?

Windows and window coverings: Clean, undamaged and in working order?

Bed frame, Mattress, Protectors, Linen

Bed frame, Mattress, Protectors, Linen. START

Bed frame in good condition, clean from dust and dirt?

Mattress Undamaged? Free of Stains? Or Needs Replacing?

Mattress protectors, pillow and linen in good order? Clean free of stains?

Furniture:

This section refers to Bedroom furniture purchased and owned by Clayfield House. I.e. wardrobe, chest of drawers, bedside table etc.

Clayfield House Room furniture: START

Does the Furniture belong to CHSA?

Note Name of owner and furniture items they own.

Is the furniture in good working condition? Clean? Functional?

Describe what items need replacing, repairing or cleaning?

Electrical Appliances:

Electrical / Electronics Power: START

Electrical appliances have Tag n Tested label Current?

Lights, Light switches clean and working?

No Double adaptors

Ensuite:

Ensuite: Start

Toilet cistern working, no leaks, no repairs required?

Toilet bowl clean, no damage, in working order?

Shower Head in good working order?
Shower Walls, Curtains and accessories in good working order?

Lights and power points working and undamaged?

Walls clean and undamaged?

Audit RM.3

Clayfield House Room Audit

Add Room Number:

Walls, Floors and Windows:

Walls, Floors and Windows

Walls clean and un-damaged

Floors and floor coverings clean, undamaged?

Windows and window coverings: Clean, undamaged and in working order?

Bed frame, Mattress, Protectors, Linen

Bed frame, Mattress, Protectors, Linen. START

Bed frame in good condition, clean from dust and dirt?

Mattress Undamaged? Free of Stains? Or Needs Replacing?

Mattress protectors, pillow and linen in good order? Clean free of stains?

Furniture:

This section refers to Bedroom furniture purchased and owned by Clayfield House. I.e. wardrobe, chest of drawers, bedside table etc.

Clayfield House Room furniture: START

Does the Furniture belong to CHSA?

Note Name of owner and furniture items they own.

Is the furniture in good working condition? Clean? Functional?

Describe what items need replacing, repairing or cleaning?

Electrical Appliances:

Electrical / Electronics Power: START

Electrical appliances have Tag n Tested label Current?

Lights, Light switches clean and working?

No double adaptors

Ensuite:

Ensuite: Start

Toilet cistern working, no leaks, no repairs required?

Toilet bowl clean, no damage, in working order?

Shower Head in good working order?
Shower Walls, Curtains and accessories in good working order?

Lights and power points working and undamaged?

Walls clean and undamaged?

Doors, Locks and Latches:

Doors, Latches, Locks: START

Door lock working and undamaged

Hand wash Basin undamaged and in working order?

Door in working order, undamaged, clean?

Audit RM.4

Clayfield House Room Audit

Add Room Number:

Doors, Locks and Latches:

Doors, Latches, Locks: START

Door lock working and undamaged

Hand wash Basin undamaged and in working order?

Door in working order, undamaged, clean?

Walls, Floors and Windows:

Walls, Floors and Windows

Walls clean and un-damaged

Floors and floor coverings clean, undamaged?

Windows and window coverings: Clean, undamaged and in working order?

Bed frame, Mattress, Protectors, Linen

Bed frame, Mattress, Protectors, Linen. START

Bed frame in good condition, clean from dust and dirt?

Mattress Undamaged? Free of Stains? Or Needs Replacing?

Mattress protectors, pillow and linen in good order? Clean free of stains?

Electrical Appliances:

Electrical / Electronics Power: START

Electrical appliances have Tag n Tested label Current?

Lights, Light switches clean and working?

No double adaptors

Audit RM.5

Clayfield House Room Audit

Add Room Number:

Doors, Locks and Latches:

Doors, Latches, Locks: START

Door lock working and undamaged

Hand wash Basin undamaged and in working order?

Door in working order, undamaged, clean?

Walls, Floors and Windows:

Walls, Floors and Windows

Walls clean and un-damaged

Floors and floor coverings clean, undamaged?

Windows and window coverings: Clean, undamaged and in working order?

Bed frame, Mattress, Protectors, Linen

Bed frame, Mattress, Protectors, Linen. START

Bed frame in good condition, clean from dust and dirt?

Mattress Undamaged? Free of Stains? Or Needs Replacing?

Mattress protectors, pillow and linen in good order? Clean free of stains?

Electrical Appliances:

Electrical / Electronics Power: START

Electrical appliances have Tag n Tested label Current?

Lights, Light switches clean and working?

No double adaptors

Level G - Audit RM.2

Clayfield House Room Audit

Add Room Number:

Doors, Locks and Latches:

Doors, Latches, Locks: START

Door lock working and undamaged

Hand wash Basin undamaged and in working order?

Door in working order, undamaged, clean?

Walls, Floors and Windows:

Walls, Floors and Windows

Walls clean and un-damaged

Floors and floor coverings clean, undamaged?

Windows and window coverings: Clean, undamaged and in working order?

Bed frame, Mattress, Protectors, Linen

Bed frame, Mattress, Protectors, Linen. START

Bed frame in good condition, clean from dust and dirt?

Mattress Undamaged? Free of Stains? Or Needs Replacing?

Mattress protectors, pillow and linen in good order? Clean free of stains?

Electrical Appliances:

Electrical / Electronics Power: START

Electrical appliances have Tag n Tested label Current?

Lights, Light switches clean and working?

No double adaptors

Audit RM.3

Clayfield House Room Audit

Add Room Number:

Doors, Locks and Latches:

Doors, Latches, Locks: START

Door lock working and undamaged

Hand wash Basin undamaged and in working order?

Door in working order, undamaged, clean?

Walls, Floors and Windows:

Walls, Floors and Windows

Walls clean and un-damaged

Floors and floor coverings clean, undamaged?

Windows and window coverings: Clean, undamaged and in working order?

Bed frame, Mattress, Protectors, Linen

Bed frame, Mattress, Protectors, Linen. START

Bed frame in good condition, clean from dust and dirt?

Mattress Undamaged? Free of Stains? Or Needs Replacing?

Mattress protectors, pillow and linen in good order? Clean free of stains?

Electrical Appliances:

Electrical / Electronics Power: START

Electrical appliances have Tag n Tested label Current?

Lights, Light switches clean and working?

No double adaptors

Audit RM.4

Clayfield House Room Audit

Add Room Number:

Doors, Locks and Latches:

Doors, Latches, Locks: START

Door lock working and undamaged

Hand wash Basin undamaged and in working order?

Door in working order, undamaged, clean?

Walls, Floors and Windows:

Walls, Floors and Windows

Walls clean and un-damaged

Floors and floor coverings clean, undamaged?

Windows and window coverings: Clean, undamaged and in working order?

Bed frame, Mattress, Protectors, Linen

Bed frame, Mattress, Protectors, Linen. START

Bed frame in good condition, clean from dust and dirt?

Mattress Undamaged? Free of Stains? Or Needs Replacing?

Mattress protectors, pillow and linen in good order? Clean free of stains?

Electrical Appliances:

Electrical / Electronics Power: START

Electrical appliances have Tag n Tested label Current?

Lights, Light switches clean and working?

No double adaptors

Audit RM.5

Clayfield House Room Audit

Add Room Number:

Doors, Locks and Latches:

Doors, Latches, Locks: START

Door lock working and undamaged

Hand wash Basin undamaged and in working order?

Door in working order, undamaged, clean?

Walls, Floors and Windows:

Walls, Floors and Windows

Walls clean and un-damaged

Floors and floor coverings clean, undamaged?

Windows and window coverings: Clean, undamaged and in working order?

Bed frame, Mattress, Protectors, Linen

Bed frame, Mattress, Protectors, Linen. START

Bed frame in good condition, clean from dust and dirt?

Mattress Undamaged? Free of Stains? Or Needs Replacing?

Mattress protectors, pillow and linen in good order? Clean free of stains?

Electrical Appliances:

Electrical / Electronics Power: START

Electrical appliances have Tag n Tested label Current?

Lights, Light switches clean and working?

No double adaptors

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.