Information
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Maintenance - Monthly Room Check.
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Conducted on
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Prepared by
Room
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Room Number/Location:
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Doors & Windows - Good condition, clean, free of defects & marks. Window restrictors in place & functional.
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Decoration - Walls, carpets & furniture in good condition - note defects, marks, stains & scratches.
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Lighting - All lighting functioning - replace bulbs, tubes as necessary.
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Electricity - Sockets & appliances plugs free from defects.
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Heating - Heating & thermostat fully functional
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Nurse Call System - Functional check of Nurse call, ensuring indication on control panel
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Bed Make:
- Invacare
- Bradshaw
- Bradshaw Low
- Days
- Okin
- Roma
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Bed Rails Fitted:
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Mattress:
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Air Pump Number:
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Bumpers:
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Note Defects & planned repair.
En suite
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Décor - Floors, walls, ceiling in good condition, clean & free of defects.
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Extractor - Fully functional, air flow adequate & vent clean.
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Water Temps - Water temperatures taken from hot & cold water outlets, recorded (CW<20 deg C, HW <43 deg C)
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Cold Water : Hot Water :
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Sanitary ware - W/C, sink, shower in good condition, functional, free of leaks & blockages.
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Empty Rooms - Hot & cold water points ran for 30 seconds.
