Information

  • Document No.

  • Conducted on

  • Prepared by

Generic Room handover checklist

  • UNIT

  • Room

  • Resident moving into room

  • Resident moving out of the room

  • Resident present at time of inspection

  • Fire door condition

  • SPECIFY

  • SPECIFY

  • Carpet/Vinyl Condition

  • SPECIFY

  • Chest of drawers

  • SPECIFY

  • SPECIFY

  • Wardrobe

  • SPECIFY

  • Condition of bed

  • Condition of mattress

  • Condition of bedside cabinet

  • SPECIFY

  • SPECIFY

  • Lights

  • SPECIFY

  • Are there electrical items in the room that require PAT Testing?

  • Heaters

  • SPECIFY

  • Condition of Walls

  • SPECIFY

  • SPECIFY

  • Condition of Ceilings

  • SPECIFY

  • SPECIFY

  • Condition of smoke detector

  • SPECIFY

  • Condition of Windows

  • SPECIFY

  • Specify

  • SPECIFY

  • Condition of Blinds / curtains

  • Specify

  • Rectify

  • Management informed?

  • MANAGEMENT INFORMED?

  • Condition of bathroom door

  • SPECIFY

  • SPECIFY

  • Condition of Sink

  • Specify

  • SPECIFY

  • Condition of Toilet

  • Specify

  • SPECIFY

  • Condition of Bathroom cabinet

  • Room cleaning

PAT Testing

  • Are there electrical items in the room that require PAT Testing?

  • STAFF Signature

  • Maintenance Tech Signture

Resident Signature

  • I AM AWARE OF ITEMS ABOVE

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.