Information

  • Maintenance - Monthly Room Check.

  • Conducted on

  • Prepared by

Room

  • Room Number/Location:

  • Doors & Windows - Good condition, clean, free of defects & marks. Window restrictors in place & functional.

  • Decoration - Walls, carpets & furniture in good condition - note defects, marks, stains & scratches.

  • Lighting - All lighting functioning - replace bulbs, tubes as necessary.

  • Electricity - Sockets & appliances plugs free from defects.

  • Heating - Heating & thermostat fully functional

  • Nurse Call System - Functional check of Nurse call, ensuring indication on control panel

  • Bed Make:

  • Bed Rails Fitted:

  • Mattress:

  • Air Pump Number:

  • Bumpers:

  • Note Defects & planned repair.

En suite

  • D├ęcor - Floors, walls, ceiling in good condition, clean & free of defects.

  • Extractor - Fully functional, air flow adequate & vent clean.

  • Water Temps - Water temperatures taken from hot & cold water outlets, recorded (CW<20 deg C, HW <43 deg C)

  • Cold Water : Hot Water :

  • Sanitary ware - W/C, sink, shower in good condition, functional, free of leaks & blockages.

  • Empty Rooms - Hot & cold water points ran for 30 seconds.

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.