Ceiling

Ceiling Tiles/Grid

Stained Ceiling Tiles?

Missing Tiles?

Gaps in Tiles?

Stained and/or Missing Grid?

Lighting

Debris in Light Fixtures?

Lights Not Working?

Grills

Dirty/Dusty Grills?

Unsecured Grills?

Broken Grills?

Exit Signs

Not Lit?

Unsecured Signs?

Visually Blocked Signs?

Sprinkler Heads

Dirty/Dusty Heads?

Gaps Around Head?

Walls

Paint

Patch Work Needed?

Touch-up Needed?

Whole Wall/Room Repainted?

Wallpaper

Peeling/Stained?

Outlets

Unsecured to Wall?

Plug Prongs Left Behind?

Missing Label?

Handrail/Bump Rails

Damaged Rail?

Missing Rail?

Needed Rail?

Signage/Art

Damaged Art/Sign?

Missing Art/Sign?

Doors

Frame

Unsecured Frame?

Missing Latch Plate?

Slab

Broken Slab

Missing Laminate (Exposed Core)?

Door Hardware

Handle/Hinges/Closer Not Working?

Access Control/Door Operator

Damaged Hardware?

Missing Hardware?

Floors

Flooring

Missing/Damaged Flooring

Expansion Joints

Missing/Damaged Gaskets

Cove Base

Missing/Damaged Cove Base

Transition Strips

Missing/Damaged Strips

Slips/Trips Hazards

Describe:

Equipment

Bathrooms

Toilets (Describe the Issue)

Sinks (Describe the Issue)

Dispensers (Describe the Issue)

Patient Rooms

Headwall Equipment (Describe the Issue)

Phone (Describe the Issue)

Pillow Speaker (Describe the Issue)

TV (Describe the Issue)

Exterior

Surface Lots

Potholes?

Drainage blocked?

Sidewalks

Cracks and/or Unsafe Elevations?

Irrigation

Improper Spraying?

Bad Head?

Exposed Sprinkler Lines

Delineation

Lines and/or Delineators Faded/Missing?

Equipment

Cones/Jersey Barriers/Powered Gates (Describe the Issue)

Roofing

Roofing Integrity

Roof Breach?

Drains clogged?

Safety Checks

Debris that can be blown off of roof?

Wires and/or Trip Hazards Not Secured?

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.