Title Page

  • Week commencing YYYYMMDD

  • Conducted on

  • Prepared by

  • Location
    Room
  • Room no.

Window

  • Window in good condition?

  • Window restrictors in place?

  • Window clean and free from internal dust?

Temperature control

  • What is the temperature outside?

  • What is the room temperature?

  • Is the temperature between 18 and 26 degrees?

  • Is the radiator off?

  • Can it be turned off?

  • Is there a fan in the room?

  • Is it currently switched on?

Utilities

  • Are sinks clean? (look for scale, grime or mould around plugs, taps and sealants)

  • Is the toilet clean?

  • Bins are recently emptied?

General

  • Are all horizontal surfaces clean and free of dust?

  • Vertical surfaces are free from visible soil?

  • Ceilings are clean and free from mould?

  • Furniture is stable and without substantial wear or tear?

  • Is the room free from notable fire risks? (E.g. Unsafe cables, build up of combustibles)

  • Please describe

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