Title Page

  • Conducted on

  • Prepared by

  • Location

External / Surrounding

  • Area Hanging Clothes

  • Outdoor Space ( Grass Cutting )

  • Cleanliness

  • Safety ( Door Lock, Gate )

  • Shoes Rack

Living Room

  • Curtain

  • Hand Sanitizer

  • Mysejatera QR Code

  • Facilities & Utility ( Fans, Lamp, Sofa, TV, Curtain )

  • Fire Evacuation Plan

  • Fire Extinguisher Plan

  • Fan

  • Lamp

  • Cleanliness

  • Emergency Contact Information

  • Notice Board & Housekeeping Schedule

Dining Room

  • Label of Social Distancing ( Table )

  • Lamp

  • Cleanliness

  • Facilities & Utility ( Dining Table, Chair, Lamp )

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.