Information
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Job No.
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Checklist Title
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Project Title
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Conducted on
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Prepared by
Room 4401
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Grab Bars (3)
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Mirror
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Soap Dish
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Paper Towel Dispenser
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Soap Dispenser
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Toilet Paper Dispenser
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Robe Hook
-
Bed Pan
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Hand Sanitizer
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Sharps Disposal
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Marker Board
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Equipment Rail
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Human Scale Blocks
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Human Scale Rail
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Wall Protection
COMMENTS
Room 4402
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Grab Bars (3)
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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
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Grab Bars (3)
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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
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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
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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
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Grab Bars (3)
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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
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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