Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Contract Number

  • Asset Number

External Condition

  • Unit Walls

  • Electrics

  • Plumbing

  • Windows, Doors and Shutters

  • Keys Returned

Internal Condition

  • Walls & Doors

  • Lighting

  • Floor

  • Partition & Cubicles

  • Kitchen Area

  • All Plumbing

  • Other Electrical (include heating, Sockets, Consumer Board, water heater)

  • Furniture

  • Smoking Shelter seating and Ashtray

Declaration

  • Overall condition of unit

  • Print & Sign

  • Date

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.