Eckerd College - Room Condition Form - V2

• Assessment Location

• Complex / Building / Room Number

• Side?

  Select Right Left Single Middle

  • Right
  • Left
  • Single
  • Middle

• Student Name

• Student Signature

  Sign

• Student ID Number

• Inspection conducted by:

• Document No.

Room Condition

• Bed Frame?

  Good

  Fair

  Poor

• Mattress/Bed Box Condition?

  Good

  Fair

  Poor

• Desk Condition?

  Good

  Fair

  Poor

• Desk Chair Condition?

  Good

  Fair

  Poor

• Dresser Condition?

  Good

  Fair

  Poor

• Wardrobe / Closet?

  Good

  Fair

  Poor

• Room Cleanliness?

  Good

  Fair

  Poor

Structural

• Room Number Sign?

  Yes

  No

• Door (Inside and Outside)

  Good

  Fair

  Poor

• Walls?

  Good

  Fair

  Poor

• Floor Tile.?<br>

  Good

  Fair

  Poor

• Smoke Detector?

  Yes

  No

• Baseboard?

  Good

  Fair

  Poor

• Window?

  Good

  Fair

  Poor

• Blinds?

  Good

  Fair

  Poor

• Ceiling Tiles?<br>

  Good

  Fair

  Poor

• Outlets (Covers, Ethernet)

  Good

  Fair

  Poor

• A/C Vent?

  Good

  Fair

  Poor

• Thermostat?

  Yes

  No

  N/A

• Mirror?

  Good

  Fair

  Poor

• Door Locks?

  Good

  Fair

  Poor

Bathrooms

• Is there a bathroom within the room?

  Yes

  No

  N/A

• Mirror?

  Good

  Fair

  Poor

• Toilet?

  Good

  Fair

  Poor

• Toilet Seat?

  Good

  Fair

  Poor

• Shower?

  Safe

  At Risk

  N/A

• Towel Rack?

  Good

  Fair

  Poor

• A/C Vent?

  Good

  Fair

  Poor

• Walls?

  Good

  Fair

  Poor

• Door: Paint / Jamb?

  Good

  Fair

  Poor

• Lights?

  Safe

  At Risk

  N/A

• Counter/Sink?

  Good

  Fair

  Poor

• Cabinet?

  Good

  Fair

  Poor

Kitchen

• Is there a kitchen within the suite?

  Yes

  No

  N/A

• Counter Tops?

  Good

  Fair

  Poor

• Table/Chairs?

  Good

  Fair

  Poor

• Cabinets / Shelves?

  Good

  Fair

  Poor

• Sink / Disposal?

  Good

  Fair

  Poor

Appliances

• Refrigerator?

  Yes

  No

  N/A

• Refrigerator Damages?

  Good

  Fair

  Poor

• Dishwasher?

  Yes

  No

  N/A

• Dishwasher Damages?

  Good

  Fair

  Poor

• Stove / Oven / Hood?

  Yes

  No

  N/A

• Stove / Oven / Hood Damages?

  Good

  Fair

  Poor

Laundry

• Is there a laundry room within the suite?

  Yes

  No

  N/A

• Washer / Dryer?

  Good

  Fair

  Poor

• Door?

  Good

  Fair

  Poor

• shelves?

  Good

  Fair

  Poor

• Light Fixture?

  Good

  Fair

  Poor

Living Room

• Is there a living room within the suite?

  Yes

  No

  N/A

• Furniture Condition?

  Good

  Fair

  Poor

• Blinds?

  Good

  Fair

  Poor

• Light / Fan?

  Good

  Fair

  Poor

• Ceiling?

  Good

  Fair

  Poor

Notes: Please indicate anything else not covered through the inspection.

• Your notes