Title Page

  • Name of managers conducting night check

  • Conducted on

  • Location
  • Form Completed by

  • 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

  • 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

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.