Title Page

  • Name of Establishment

  • Room #

  • Room Type

  • Conducted on

  • Inspected by

  • Instructions:

    1. Take a photo of the room being inspected.
    2. Answer "Yes", "No", "N/A" on the items below.
    3. In the event of items in need of maintenance or repair, add a note and image evidence by tapping on notes and image.
    4. Add a Corrective Action for identified failed items. Tap on "Action", provide a description, assign to a member, set priority and due date.
    5. Provide your overall comments or recommendations (if any)
    6. Complete audit by providing digital signature.

Room Checklist

  • Take a photo of the room

  • Doors working properly

  • Door is Clean and Scratch Free

  • Emergency evacuation plan back of door

  • Current Poster on back of door (Take Photo)

  • Light switches work

  • Window glass are clean and damage free

  • Drapes are straight and are in good condition

  • Heater working

  • Heater is clean

  • Lamp shades are clean and straight

  • Beds are properly made

  • Mattress(es) firm

  • Bedspread is free of rips and stains

  • Furnitures are free from scratches or stains

  • Walls are clean and free of cobwebs

  • Walls are free from scratches and nicks

  • Bins Clean

  • Pictures and mirrors are in pristine condition

  • Locker in good condition

  • Bunk Beds is secuied

  • Power Point working

  • Private Room Kettle and Mug are in good condition

  • Private Room Clothing Hang in good condition

Bathroom Checklist

  • Take a photo of bathroom(s)

  • Clean toilet seat (both sides)

  • Underside of lavatory clean

  • Shower rod in good condition

  • Toilet flushes correctly

  • Bathroom free of odors

  • Pop up stopper clean ( flush button)

  • Free of water spots on tiles

  • Shower free of grout

  • Clean supply of towels prepared

  • Floor Clean

  • Heater Working

  • Towel Rank Securied

Completion

  • Comments and Recommendations

  • Inspector's Name and Signature

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.