Information

  • Title

  • Document No.

  • Conducted on

  • Prepared By:

  • Location
  • Additional Personnel

Dorm Safety Inpection.

Building Number

  • Building Number or Name

  • Select date

  • 1st Floor Common Area Emergency / Exit Lights Functioning?

  • 1st Floor Common Area Sprinkler Heads In Good Condition?

  • 2nd Floor Common Area Emergency / Exit Lights Functioning?

  • 2nd Floor Common Area Sprinkler Heads In Good Condition?

  • 3rd Floor Common Area Emergency / Exit Lights Functioning?

  • 3rd Floor Common Area Sprinkler Heads In Good Condition?

  • Common Area Hand Rails In Good Condition?

  • Images Of Safety Issues In Common Area:

  • Add room

  • Room
  • Room number

  • Entrance Door Closes Automatically?

  • Sprinkler Heads In Good Condition?

  • HVAC Clean Of Debris and Dust?

  • Electrical Panel In Good Condition?

  • Dryer Vent Hose Connected?

  • Clean From Debris Behind Washer / Dryer

  • Appliances Look In Good Condition?

  • Fire Extinguisher In Good Condition?

  • GFI Outlets Functioning?

  • Smoke Detectors In Good Condition?

  • Walls Are Hole Free?

  • Electrical Outlet Faceplates In Good Condition?

  • Handrails On Patio In Good Condition?

  • Interior Doors In Good Condition?

  • Images Of Safety Issues In Dorm Room:

Exterior Of Building

  • FDC In Good Condition?

  • Knox Box In Good Condition?

  • Comments On Building:

  • Images Of Safety Issues Exterior Of Building:

Signatures

  • Inspector signature

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