Title Page
-
Audit date
-
Auditor name
-
Accommodation name
-
Accommodation address
-
Agency
-
Contact persons
-
Accommodation-partner
-
Accommodation Type
-
Number of persons per room and total Occupation
Light version
Questions
-
1. Travel distance single max. 60 minutes?
-
2. Impression bedrooms: <br> How is the the hygiene, technical condition, windows/ventilation/daylight?
-
3. Impression general area: <br> How is the hygiene, technical condition, windows/ventilation/daylight, outdoor space, smoking area, shed?
-
4. Impression shower / bath / toilet: <br> How is the hygiene, technical condition, privacy?
-
5. Impression kitchen/dining facility hygiene: <br> Are there sufficient refrigeration and cooking facilities, cooking utensils technical condition, availability of user manual?
-
6. Impression atmosphere/safety: <br> Are there lockable rooms, local information, adequate privacy, house rules, follow-up on questions and complaints?
-
7. Transportation commute (car/bus/bicycle): <br> How is the availability/alternatives in case of technical defects/breakdown?
-
8. Groceries/shop nearby: <br> Are they within 20 minutes by bike or car?
-
9. Leisure/activities nearby: <br> Are they within 20 minutes by bike or car?
-
10. General impression: <br> - Permit: Is there a permit for occupancy? (only to be requested; does not need to be shown, may of course)<br> - SNF certification: Is a valid SNF sticker present?<br> - Safety in case of emergencies: is there a fire extinguisher, fire blanket (escape route) fire alarm/smoke detector, fire extinguisher?<br> - Method of periodic inspections by agency/manager: is it announced and respectful?
Completion
-
General comments
-
Conclusions
-
Key follow up actions Agency
-
Key follow up actions GXO
-
Suggestion for improvement Agency
-
Suggestion for improvement GXO
-
Full Name Function and Signature of the Inspector
