FRSA - Preventative Maintenance Units

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Entrance Door

• Door - check for chipped and faded paint, repaint if necessary.

  Yes

  No

  N/A

• Threshold - Check that it Is in good condition.

  Yes

  No

  N/A

• Night Latch - Check that it is in good working condition.

  Yes

  No

  N/A

• Electronic Lock - Check that it is in good working condition. This means that the lock opens at least 9 out of 10 times when using the key card. Clean lock with the cleaning card.

  Yes

  No

  N/A

• Door Frame - check for chipped and faded paint.

  Yes

  No

  N/A

• Weather seal - Check for cracked, ripped , frail condition, replace if necessary.

  Yes

  No

  N/A

• Door viewer - Must be clean and in good condition and can see clearly.

  Yes

  No

  N/A

• Door Closer - Check to make sure the door closes properly and safely.

  Yes

  No

  N/A

Vanity Area

• Towel Bars - Check and make sure it is proper,y attached to wall, repair if needed.

  Yes

  No

  N/A

• Sink/Faucet - Check for good condition and is in working order.

  Yes

  No

  N/A

• Is there second sink?

  Yes

  No

  N/A

• Sink/Faucet # 2 - Check for good condition and is in working order.

  Yes

  No

  N/A

• Countertop - Check condition free of water stains, clean out is necessary.

  Yes

  No

  N/A

• Vanity Mirror - Check for cracks, delimitation, frame in good condition.

  Yes

  No

  N/A

• Light Switch - Check that the switch works and face plate is in good clean condition.

  Yes

  No

  N/A

• Light Switch - Check that the switch works and face plate is in good clean condition.

  Yes

  No

  N/A

• Light Fixture - Dust area above the light.

  Yes

  No

  N/A

• Walls/Wallpaper - check walls for stains peeling and fading.

  Yes

  No

  N/A

Bathroom

• Door - check for chipped and faded paint, repaint if necessary.

  Yes

  No

  N/A

• Door hardware - Check that it is in good and working condition.

  Yes

  No

  N/A

• Tub Fixtures - Check and or replace if fixture are scratched to core and or worn out.

  Yes

  No

  N/A

• Tub Stopper - Check and or place if worn and or broken.

  Yes

  No

  N/A

• Shower Tub/Caulking - Caulk area around the tub is worn out, old, molding, yellowing.

  Yes

  No

  N/A

• Shower Head - Check and or replace if worn out or broken.

  Yes

  No

  N/A

• Shower Door - Check and or replace if worn and or broken.

  Yes

  No

  N/A

• Light Fixture - Clean light lens area above the light.

  Yes

  No

  N/A

• Exhaust Fan / Vent - Clean exhaust fan and or vent.

  Yes

  No

  N/A

• Toilet Seat - Make sure the seat is firmly in place Nd is in good condition.

  Yes

  No

  N/A

• Toilet Water Level - Make sure the water level in the tank is proper.

  Yes

  No

  N/A

• Toilet Caulking - Make sure that caulking base is clean and not worn.

  Yes

  No

  N/A

• Walls/Wallpaper - check walls for stains peeling and fading.

  Yes

  No

  N/A

• Tile / Baseboard - Tile must be clean and fresh looking.

  Yes

  No

  N/A

Mirrored Closet

• Shelf / Rod - Shelf must be firm in good condition and rod as well.

  Yes

  No

  N/A

• Organizer - Make sure that it is in good conditions dn firm to the wall.

  Yes

  No

  N/A

• Walls/Wallpaper - check walls for stains peeling and fading.

  Yes

  No

  N/A

Bedroom Area

• Bed # 1- Check that the box spring and support frame are properly placed.

  Yes

  No

  N/A

• Head Board - Check head board condition, refinish if needed.

  Yes

  No

  N/A

• Is there a Second Bed?

  Yes

  No

  N/A

• Bed # 2 - Check that the box spring and support frame are properly placed.

  Yes

  No

  N/A

• Head Board - Check head board condition, refinish if needed.

  Yes

  No

  N/A

• Night stand # 1 - Check condition refinish if necessary.

  Yes

  No

  N/A

• Is there another night stand?

  Yes

  No

  N/A

• Night stand # 2 - Check condition refinish if necessary.

  Yes

  No

  N/A

• Clock Radio - Make sure the time & date are correct. Make sure all function are operational.

  Yes

  No

  N/A

• Telephone - Check condition, faceplate with correct information.

  Yes

  No

  N/A

• Light Fixture # 1 - Check to make sure is in good condition and in working order.

  Yes

  No

  N/A

• Check Outlets on lamp to make sure they still work when the lights are off.

  Yes

  No

  N/A

• Is there a Second Light Fixture?

  Yes

  No

  N/A

• Light Fixture # 2 - Check to make sure is in good condition and in working order.

  Yes

  No

  N/A

• Check Outlets on lamp to make sure they still work when the lights are off.

  Yes

  No

  N/A

• Sofa Sleeper - Check overall condition and operation.

  Yes

  No

  N/A

• Floor Lamp - Check overall condition and operation.

  Yes

  No

  N/A

• Coffee Table - Check overall condition, refinish if necessary.

  Yes

  No

  N/A

• Desk - Check overall condition, refinish if necessary.

  Yes

  No

  N/A

• Drawer - is in good working order.

  Yes

  No

  N/A

• Desk Lamp - Check overall condition and operation.

  Yes

  No

  N/A

• Check Outlets on lamp to make sure they still work when the lights are off.

  Yes

  No

  N/A

• Desk Chair - Is in good working order.

  Yes

  No

  N/A

• TV / Dresser Drawer - Check condition refinish if necessary.

  Yes

  No

  N/A

• Drawers - is in good working order.

  Yes

  No

  N/A

• Mini-Refrigerator - check to make sure it is cooling and in good condition.

  Yes

  No

  N/A

• TV - Makes sure it turns on and remote works.

  Yes

  No

  N/A

• Walls/Wallpaper - check walls for stains peeling and fading.

  Yes

  No

  N/A

PTAC UNIT

• Are there PTAC Units in the room?

  Yes

  No

  N/A

• How many PTAC Units are there?

  Select 0 1 2

  • 0
  • 1
  • 2

• PTAC # 1

  Yes

  No

  N/A

• Thermostat - Check heating and cooling for proper operation.

  Yes

  No

  N/A

• Clean filter.

  Yes

  No

  N/A

• Clean housing (Cover).

  Yes

  No

  N/A

• PTAC # 2

  Yes

  No

  N/A

• Thermostat - Check heating and cooling for proper operation.

  Yes

  No

  N/A

• Clean filter.

  Yes

  No

  N/A

• Clean housing (Cover).

  Yes

  No

  N/A

• PTAC # 1

  Yes

  No

  N/A

• Thermostat - Check heating and cooling for proper operation.

  Yes

  No

  N/A

• Clean filter.

  Yes

  No

  N/A

• Clean housing (Cover).

  Yes

  No

  N/A

Windows

• Are there windows in the guest room?

  Yes

  No

  N/A

• How many windows?

  Select 0 1 2

  • 0
  • 1
  • 2

• Window # 1 - Check overall condition an operation.

  Yes

  No

  N/A

• Curtains - Check curtains are in good condition and operational.

  Yes

  No

  N/A

• Window # 2 - Check overall condition an operation.

  Yes

  No

  N/A

• Curtains - Check curtains are in good condition and operational.

  Yes

  No

  N/A

• Window - Check overall condition an operation.

  Yes

  No

  N/A

• Curtains - Check curtains are in good condition and operational.

  Yes

  No

  N/A

Balcony

• Does the room have a balcony?

  Yes

  No

  N/A

• Curtains - Check curtains are in good condition and operational.

  Yes

  No

  N/A

• Patio Door - Check overall condition and operation, including Charlie Bar.

  Yes

  No

  N/A

• Balcony Floor - Check overall condition, repaint if needed.

  Yes

  No

  N/A

• PTAC Vent - check overall condition and clean.

  Yes

  No

  N/A

• Balcony Light Fixture - Check overall condition, clean lens.

  Yes

  No

  N/A

• Patio Furniture - Check overall condition and clean if needed.

  Yes

  No

  N/A

Living Room

• Does this room have a Separate Living Area?

  Yes

  No

  N/A

• Sofa Sleeper - Check overall condition and operation.

  Yes

  No

  N/A

• Floor Lamp - Check overall condition and operation.

  Yes

  No

  N/A

• Coffee Table - Check overall condition, refinish if necessary.

  Yes

  No

  N/A

• Does the room have Lounge Chairs?

  Yes

  No

  N/A

• Lounge Chair # 1- Check overall condition is it good?

  Yes

  No

  N/A

• Lounge Chair # 2 - Check overall condition is it good?

  Yes

  No

  N/A

• Bar

  Yes

  No

  N/A

• Countertop - Check overall condition and polish if necessary.

  Yes

  No

  N/A

• Sink - Check overall condition and operation.

  Yes

  No

  N/A

• Light Switch - Check that the switch works and face plate is in good clean condition.

  Yes

  No

  N/A

• Light Fixture - Dust area above the light.

  Yes

  No

  N/A

• Walls/Wallpaper - check walls for stains peeling and fading.

  Yes

  No

  N/A

• GFCI Outlet - Test GFCI switch and face plate is in good and clean condition.

  Yes

  No

  N/A

• Mini-Refrigerator - check to make sure it is cooling and in good condition.

  Yes

  No

  N/A

• Does the room have a desk?

  Yes

  No

  N/A

• Desk - Check overall condition, refinish if necessary.

  Yes

  No

  N/A

• Drawer - is in good working order.

  Yes

  No

  N/A

• Desk Lamp - Check overall condition and operation.

  Yes

  No

  N/A

• Check Outlets on lamp to make sure they still work when the lights are off.

  Yes

  No

  N/A

• Desk Chair - Is in good working order.

  Yes

  No

  N/A

• TV / Dresser Drawer - Check condition refinish if necessary.

  Yes

  No

  N/A

• Drawers - is in good working order.

  Yes

  No

  N/A

• Walls/Wallpaper - Check walls for stains peeling and fading.

  Yes

  No

  N/A

Spa Tub

• Does the room have a spa tub?

  Yes

  No

  N/A

• Check overall condition of tub is it good.

  Yes

  No

  N/A

• Do the jets work?

  Yes

  No

  N/A

• Are all chrome fixtures in good condition?

  Yes

  No

  N/A

• Is the tile work clean and well grouted?

  Yes

  No

  N/A

• Does the ceiling light work?

  Yes

  No

  N/A

• Is the ceiling light lens clean?

  Yes

  No

  N/A