Information

  • Job No.

  • Checklist Title

  • Project Title

  • Conducted on

  • Prepared by

Room 4401

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4402

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4403

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4404

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4405

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4406

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4407

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4408

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4409

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4410

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4411

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4412

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4413

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4414

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4415

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4416

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4417

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4418

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4419

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Shower Seat

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4420

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4421

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4422

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4423

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4424

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4425

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Shower Seat

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4426

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4427

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4428

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4429

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4430

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4431

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

Room 4432

  • Grab Bars (3)

  • Mirror

  • Soap Dish

  • Paper Towel Dispenser

  • Soap Dispenser

  • Toilet Paper Dispenser

  • Robe Hook

  • Bed Pan

  • Hand Sanitizer

  • Shower Seat

  • Sharps Disposal

  • Marker Board

  • Equipment Rail

  • Human Scale Blocks

  • Human Scale Rail

  • Wall Protection

COMMENTS

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.