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