Name of staff on duty

Are the staff on duty also rostered to be working

Staff on duty located in communal areas

Staff on duty located in office

Staff on duty carrying out domestic duties

Night staff one aware of who is in and who is out

Night staff two aware of who is in and who is out

On arrival, was windows unusually open/closed

Lights on in entrance

Lights on in communal areas

Office door open/unlocked

Lights on in office

Pre made bed or bedding found in communal area or office

Is the shift plan completed showing who is responsible for each task

On inspections, checks that have been signed for have been completed

Are garden doors open/closed according to the services house rules


Summary of inspection

Photo evidence


Notification email inform of finding
HR informed of findings (concerns only)
Peninsula informed of findings (concerns only)
Safeguarding concern to be raised with local authority (concerns only)

Others informed

Signed by person completing form
Signed by second Manager
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.