Generic Room handover checklist
UNIT
Room
Resident Name
Resident present at time of inspection
Fire door condition
GOOD
NEEDS REPAIRS
DAMAGED BY RESIDENT
SPECIFY
Chest of drawers
GOOD
NEEDS REPAIRS
DAMAGED BY RESIDENT
SPECIFY
Wardrobe
GOOD
NEEDS REPAIRS
DAMAGED BY RESIDENT
Condition of bed
Good
Needs repairs
Damaged
Condition of matress
Select
Good
Fair
Poor
Damaged by resident
Missing
Too long - fire hazard
Good Fair Poor Damaged by resident Missing Too long - fire hazard
Condition of bedside cabinet
GOOD
NEEDS REPAIRS
DAMAGED BY RESIDENT
SPECIFY
Lights
GOOD
NEEDS REPAIRS
DAMAGED BY RESIDENT
Are there electrical items in the room that require PAT Testing?
Heaters
GOOD
NEEDS REPAIRS
DAMAGED BY RESIDENT
Condition of Walls
GOOD
NEEDS REPAIRS
DAMAGED BY RESIDENT
SPECIFY
Condition of smoke detector
GOOD
DIRTY
DAMAGED BY RESIDENT
Condition of Windows
Select
GOOD
DIRTY
NEEDS REPAIRS
DAMAGED BY RESIDENT
GOOD DIRTY NEEDS REPAIRS DAMAGED BY RESIDENT
Specify
SPECIFY
Condition of Blinds / curtains
Select
Good
Fair
Poor
Damaged by resident
Missing
Too long - fire hazard
Good Fair Poor Damaged by resident Missing Too long - fire hazard
Rectify
Management informed?
MANAGEMENT INFORMED?
Condition of Sink
Select
GOOD
DIRTY
NEEDS REPAIRS
DAMAGED BY RESIDENT
GOOD DIRTY NEEDS REPAIRS DAMAGED BY RESIDENT
SPECIFY
Room cleaning
Select
Good
Fair
Poor
Damaged by resident
Missing
Too long - fire hazard
Good Fair Poor Damaged by resident Missing Too long - fire hazard
Resident Signature
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Sam Avril
Generic Room Room Inspection checklist
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