GODSY RESIDENTIAL LIVING MONTHLY INSPECTION

• GODSY

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Are the floors clean and in good repair?

  Yes

  No

  N/A

• Are the walls and ceiling and walls painted and in good repair?

  Yes

  No

  N/A

• Are the fire extinguishers inspected and in good repair?

  Yes

  No

  N/A

• Are the evacuation plans posted

  Yes

  No

  N/A

• Is the fire alarm system working and in good repair?

  Yes

  No

  N/A

• Have the fire drills been conducted and recorded properly?

  Yes

  No

  N/A

• Are the window sills, curtains/shades clean and in good repair?

  Yes

  No

  N/A

• Is the lighting adequate and in good repair?

  Yes

  No

  N/A

• Is the ventilation adequate, no odors?

  Yes

  No

  N/A

• Are the trash cans clean and in good repair?

  Yes

  No

  N/A

• Are the lockers clean and in good repair?

  Yes

  No

  N/A

• Are there adequate cleaning supplies?

  Yes

  No

  N/A

• Are the beds clean and in good repair?

  Yes

  No

  N/A

• Are the beds numbered?

  Yes

  No

  N/A

• Do all outlets work?

  Yes

  No

  N/A

• Are all outlet covers intact?

  Yes

  No

  N/A

• Is the main power box accessible 36”?

  Yes

  No

  N/A

• Are there any unauthorized extension cords in use?

  Yes

  No

  N/A

• Has the Emergency Exit Lights been tested?

  Yes

  No

  N/A

• Are cleaning supplies stored properly and SDS sheets available?

  Yes

  No

  N/A

• Washers and Dryers good condition, lint screens cleaned Humphrey Hall?

  Yes

  No

  N/A

• Daily Sanitizing Log

  Yes

  No

  N/A

BATHROOMS

• Are the toilets clean and in good repair?

  Yes

  No

  N/A

• Are the showers/tubs clean and in good repair?

  Yes

  No

  N/A

• Is there adequate hot water for showers?

  Yes

  No

  N/A

• Are the sinks clean and in good repair?

  Yes

  No

  N/A

• Is the ventilation adequate, no odors?

  Yes

  No

  N/A

• Are all GFI circuit breakers working?

  Yes

  No

  N/A

• Is all the tile work clean and in good repair?

  Yes

  No

  N/A

• Are there any leaks in the showers or sinks?

  Yes

  No

  N/A

• Is there adequate toilet paper and paper hangers in each stall?

  Yes

  No

  N/A

EXTERIOR

• Are the outside trash containers clean and in good repair?

  Yes

  No

  N/A

• Are the sidewalks clean and in good repair?

  Yes

  No

  N/A

• Is the general appearance clean and without clutter?

  Yes

  No

  N/A

• Are the doors secure and in good repair?

  Yes

  No

  N/A

• Is the paint fresh and in good repair?

  Yes

  No

  N/A

• Are all the windows intact and clean?

  Yes

  No

  N/A

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