Title Page

  • Conducted on

  • Prepared by

  • Location
  • Room Number

Entry way

  • Check Entry Door (Paint , Functionality)

  • Night Latch

  • Connecting Door Latch

  • Check Entry Tile Condition

  • Check Condition of Ceiling

Bathroom

  • Check Sink Condition

  • Sink Drain

  • Vanity Condition

  • Vanity Mirror

  • Switches

  • Outlets

  • Tile Condition

  • Door Hinges

  • Bathroom Door Condition

  • Bathroom Light Condition

  • Shower Door Condition

  • Shower Head

  • Shower Cartridge

  • Tub Drain

  • Toilet

A/C

  • Thermostat

  • Filter

  • Tablet

  • Motor

  • Door Sensors

Room

  • TV

  • Headboard

  • Dresser

  • Furniture

  • Mirror

  • Walls

  • Carpet

  • Outlets

  • Switches

  • Ceiling Fan

  • Baseboards

  • Crown Molding

  • Smoke Detectors

Balcony

  • Door

  • Night Latch

  • Handle

  • Tiles

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.