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:


Air Pump Number:


Note Defects & planned repair.

En suite

Décor - 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.

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.