Dorm Inspection Checklist

• Conducted on

  Date

• Prepared by

• DORMITORY INSPECTION CHECKLIST

• Room Rating:

  Excellent

  Satisfactory

  Unsatisfactory

• Resident Rank/Name:

• Date:

  Date

• Room :

• Building Number: 253 370 375 376 377 378

DOORS

• Unlocked

  Yes

  No

  N/A

WINDOW(S)/SCREEN

• Unlocked

  Yes

  No

  N/A

• Windows excessively dirt

  Yes

  No

  N/A

• Sill excessively dirty

  Yes

  No

  N/A

• Blinds dirty/dusty

  Yes

  No

  N/A

FLOOR

• Items strewn around

  Yes

  No

  N/A

• Trash/garbage on floor

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Excessive stain/dirt

  Yes

  No

  N/A

• Damaged floor/carpet

  Yes

  No

  N/A

Bed

• Soiled Linen

  Yes

  No

  N/A

• Missing Linen

  Yes

  No

  N/A

• Unmade

  Yes

  No

  N/A

DRESSER

• Excessive dust/clutter

  Yes

  No

  N/A

• Broken/Damaged

  Yes

  No

  N/A

CHAIR/DESK/NIGHT STAND

• Broken/Damaged

  Yes

  No

  N/A

• Excessive Stains

  Yes

  No

  N/A

MICROWAVE

• Dirty inside/Outside

  Yes

  No

  N/A

• Broken/Damaged

  Yes

  No

  N/A

TRASH CAN(s)

• Overflowing

  Yes

  No

  N/A

• Needs cleaning

  Yes

  No

  N/A

VANITY/SINK AREA

• Mirror dirty

  Yes

  No

  N/A

• Unserviceable

  Yes

  No

  N/A

• Broken/Damaged

  Yes

  No

  N/A

• Excessively dirty

  Yes

  No

  N/A

REFRIGERATOR

• Needs Defrost

  Yes

  No

  N/A

• Spoiled food/stinky

  Yes

  No

  N/A

• Seal dirty

  Yes

  No

  N/A

• Dirty outside / inside

  Yes

  No

  N/A

• Broken/Damaged

  Yes

  No

  N/A

CEILING/WALLS

• Damaged

  Yes

  No

  N/A

• Leaking

  Yes

  No

  N/A

• Ceiling fan dusty

  Yes

  No

  N/A

• Inappropriate photos

  Media

• Dirt/Spider webs

  Yes

  No

  N/A

UNAUTHORIZED ITEMS

• Cooking equipment

  Yes

  No

  N/A

• Flammables/fireworks

  Yes

  No

  N/A

• Heating equipment

  Yes

  No

  N/A

• Weapons

  Yes

  No

  N/A

• Burning Candles/Incense

  Yes

  No

  N/A

• Alcohol (under 21)/Drugs

  Yes

  No

  N/A

BATHROOM

• Stained toilet

  Yes

  No

  N/A

• Floor not swept/mopped

  Yes

  No

  N/A

• Soap scum in shower

  Yes

  No

  N/A

• Dirty Shower Curtain

  Yes

  No

  N/A

• Plumbing leaks

  Yes

  No

  N/A

• Urine on fixtures/floor

  Yes

  No

  N/A

MISC

• Light bulbs need replaced

  Yes

  No

  N/A

• Unsafe electric cords

  Yes

  No

  N/A

• Dirty A/C Filter/Vents/Change filters

  Yes

  No

  N/A

• Lamps unserviceable

  Yes

  No

  N/A

• Broken/missing fan globes

  Yes

  No

  N/A

• Light switches don’t work

  Yes

  No

  N/A

• Outlets unserviceable

  Yes

  No

  N/A

BLDG 253/370 COMMON AREA:

• Stove/Oven dirty/damaged

  Yes

  No

  N/A

• Washer/Dryer dirty/damaged

  Yes

  No

  N/A

• Ceiling fans dirty/damaged

  Yes

  No

  N/A

• Kitchen table dirty/damaged

  Yes

  No

  N/A

• Living room furniture dirty/damaged

  Yes

  No

  N/A

• AC filter dirty/needs replaced

  Yes

  No

  N/A

• Blinds dusty

  Yes

  No

  N/A

• Floors/carpets dirty

  Yes

  No

  N/A

• Refrigerator dirty

  Yes

  No

  N/A

• Garbage disposal/sink smells

  Yes

  No

  N/A

• Trash/Recycling needs emptied

  Yes

  No

  N/A

COMMENTS/REMARKS/OBSERVATIONS

• F Failed! (Report for re-inspection wi/ supervisor on