Title Page

  • Scheme name and block number

  • Location
  • Date of attendance

  • Completed by

  • Signature

Communal Spaces are they clean and tidy.

  • Entrance Porch ( all entrance/exits ) and External Doors

  • Stairways and Landings

  • Carpets

  • Hard flooring

  • Skirting Boards

  • Stair nosing

  • Marks on walls

  • Handrails including spindles (inc. Glass if applicable)

  • Internal window glass and frame

  • Window sills

  • Ceilings, Lights, Fixtures and Fittings

  • Litter Bins, If on site

  • Toilets and Washroom (Where communal facilities are in use)

  • Bin stores

  • Bike stores

  • Mobility Scooter Room (where identified)

  • Sharps, Bodily Fluids and Biological Hazards

  • Cigarette Bins if present

  • Any Fly tipping present.

  • Any repairs required

Community Rooms, please click N/A to all questions if none on site

  • Kitchen area

  • Cupboards

  • Equipment

  • Hard flooring

  • Carpets

  • Internal windows and frames

  • Window sills

  • Skirting

  • Tables and chairs

  • Toilets and Washroom (Where communal facilities are in use)

  • Sharps, Bodily Fluids and Biological Hazards

  • Litter Bins if present

  • Any Fly tipping

  • Any Repairs required

Scheme Extras

  • Laundry Room

  • Meter/Other Cupboards where accessible

  • Lift ('s)

  • Guest Rooms (Usually Sheltered accommodation only) Check specification

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.