Title Page

  • Conducted on

  • Prepared by

  • Site conducted

  • Resident name

Residents check - for those not in their bedroom

  • Is the resident clean and dressed?

  • Is the resident in clothes appropriate for the weather?

  • Is the resident wearing appropriate footwear?

  • Is the resident wearing their own labelled clothing?

  • Has the resident has their teeth or dentures brushed?

  • Has the resident been shaved?

  • Has the resident had personal care?

  • Has the resident has a bath or shower within the past week?

  • If applicable, are the residents hearing aids in place?

  • If applicable, is the resident wearing their glasses?

  • Does the resident have a fresh drink available within reach?

  • Does the resident have a catheter?

  • Has the leg bag been emptied?

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.