Title Page

  • Conducted on

  • Prepared by

Management Coverage Area: Supervisor/Lead

  • Areas Toured:

  • AM Tour:

  • Afternoon Tour:

  • PM. Tour:

  • Complaints?

  • Has complaints been resolved?

Customer Touch-Base:

  • ED:

  • Public Areas:

Discharge Information:

  • Number of beds passed over to next shift?

  • Any Discharge Issues?

  • Has The discharge issues been resolved?

  • Additional work passed on to next shift?

Trash Chute & Carts (Cleared & Cleaned)?

  • Queeny Tower

  • West Pavilion

  • Peters

  • East Pavilion

  • Any trash issues?

  • Has the trash issues been resolved?

  • Time compactor picked up?

Staffing: Call offs/Late ins & issues:

  • BJH Staff: Call off /Late ins

  • MWS Staff: Call offs/Late ins

  • Staffing issues?

  • Has staffing issues been resolved or need further investigation?

Projects / Chariot / Bed Depot:

  • Projects Completed?

  • Bed Depot Status:

Pertinent Information:

  • Detail information:

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