Title Page

  • Audit Title

  • Department

  • Location / Storage area

  • Conducted on

  • Prepared by

  • Personnel

Make

Asset / Reference number

Mattress integrity

  • There is no evidence of perishing; namely changes in color, thickness, strength and texture of the impermeable mattress cover?

  • There are no tears on either sides of the mattress and the cover is intact?

  • Are all the seams intact with no splitting or loose parts?

  • Is the foam recoiling to the standard size when compressed?

  • Is the size of the mattress proportionate to the size of the bed frame?

Function / Safety

  • Is the trolley complete and with no loose or any missing parts?

  • Is the trolley free from any damage?

  • Is the Side Rails working Properly?

  • Are the wheel Breaks working Properly?

Cleanliness

  • Is the Trolley clean?

Employee ID ang Signature

  • Employee ID

  • Sign here

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