Information

  • Document No.

  • Prepared by

  • Conducted on

  • Location

MAIN DOOR BUILDING

  • Door Number visible

  • Do the keys work

MAIN DOOR FLAT

  • Door Number visible

  • Colour of door

  • Do the keys work

COMMON AREAS

  • First aid signs clearly visible

  • Lighting adequate and operational

  • Temperature is comfortable

  • Area is free from odours

  • Noise level is acceptable/adequately controlled

  • Ventilation is adequate

  • Handrails present, safe and secure

  • Stair treads in good condition

  • Electrical equipment tested, tagged and safe

  • Electrical switches/sockets in good condition

  • Furniture safe and undamaged

  • Corridor walls in good condition

  • Corridor floor in good condition

  • Corridor radiator and valve in good condition

  • Flooring in good condition

METERS

  • Gas Meter reading

  • Electricity meter reading

  • Gas credit remaining

  • Electricity credit remaining

  • Debt level if any

EMERGENCY

  • Access and egress paths clear

  • Fire alarms tested and working

  • First aid kit accessible

  • Fire fighting equipment checked in last 6 months

  • Fire fighting equipment easily accessible

  • Fire blanket in kitchen

KITCHEN

  • Kitchen clean; Bins empty, bags used in bin

  • Seal around worktop intact and clean

  • Drains (floor and sink) clear and free flowing

  • Taps free from drips (does it work? Cold and hot water)

  • Fridge clean, good condition

  • Freezer clean and free of ice build up

  • Toaster

  • Oven/stove safe, clean and working

  • Electrical equipment tested, tagged and safe

  • Electrical switches/sockets in good condition

  • Furniture safe and undamaged

  • Iron board + iron

  • Microwave clean and maintained

  • Kitchen set (one per bed)

  • Dinning table and chairs

  • Sofa

  • Television

  • Area free from pests or evidence thereof

  • Notice board

  • Henry Hoover and living cleaning start kit

  • Washing machine working

  • Dishwasher working

  • Extractor working

  • Lighting adequate and operational

  • Walls in good condition

  • Flooring in good condition

  • Add Bathroom

BATHROOM

  • Area clean and dry

  • Shower operational and free from defects (this includes screens, hose, headset and accessories)

  • Taps free from drips (does it work? Cold and hot water)

  • Toilet in good working order

  • Saniflo present

  • Extractor fan working

  • Seals intact around shower and sink

  • Shower curtain & rail

  • Mirror

  • Toilet holder and brush

  • Bathroom accessory pack

  • Window in good condition

  • Lights working

  • Floor in good condition

  • Walls in good condition

  • Door lock working

  • Add Room

ROOM

  • Door in good condition

  • Does door open easily with the keys

  • Door number

  • Key

  • Mattress

  • Bed frame

  • Bed slats in good condition

  • Desk

  • Desk Lamp

  • Wardrobe

  • Chair

  • Chest of drawers

  • Curtain

  • Window opens and shuts

  • Light bulbs working

  • Light switch working

  • Flooring

  • Walls in good condition

  • Ceiling in good condition

  • Are the sockets working

  • Radiator and valves working

  • Add En-Suite Bathroom

EN-SUITE BATHROOM

  • Area clean and dry

  • Shower operational and free from defects (this includes screens, hose, headset and accessories)

  • Taps free from drips (does it work? Cold and hot water)

  • Toilet in good working order

  • Saniflo present

  • Extractor fan working

  • Seals intact around shower and sink

  • Shower curtain & rail

  • Mirror

  • Toilet holder and brush

  • Bathroom accessory pack

  • Window in good condition

  • Lights working

  • Floor in good condition

  • Walls in good condition

  • Door lock working

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.