Information

  • Conducted on

  • Prepared by

  • Room Number

Bed: All linens, bedspreads, blankets & pads are;

  • Unwrinkled

  • Unstained

  • Free of Hair

  • Other Comments

Floor/Carpet

  • Vacuumed

  • Free of Debris

  • Free of Marks/stains

  • Other Comments

Garbage Container free of;

  • Debris

  • Odor

  • Dry

  • Imperfections, (rust, dents, burns)

Furnishings (Furniture, lamps, doors, desk, draws) are;

  • Free of Dust

  • Free of Stains/marks

  • Clock radio time is correct

  • Fire Safety Information, DND, MAGC signs are in place

  • Mini Fridge (clean in & out, defrosted)

  • Television has clear picture & sound

Telephones & Wifi

  • Operational

  • Ear piece & mouth piece are clean & free of odor

  • Free of Stains/marks

  • Complete with clear printing

  • Wifi signal strength strong

Tea/coffee setup

  • 2 Coffee

  • 2 White Sugar

  • 2 Brown Sugar

  • 2 Creamers

  • 2 Low Sweetners

  • 5 Tea Bags

  • 2 Plastic Spoons

  • Tray, Mugs & Kettle (inside & outside) clean & dry

Closet (Carpet, Walls, Floor, Doors & Fixtures) are;

  • Free of Dust & Debris

  • Free of Stains & Discoloration

  • Closet Door & Light Operating Properly

  • Safe with Disclaimer Sticker

  • Hangers (6 normal, 4 clips)

  • Bathrobe

Windows, Mirrors are free of;

  • Dust & Debris

  • Stains

  • Finger Prints

Curtains (Show, Sheer & Blackout);

  • Free of Dust & Debris

  • Free of Stains & Discoloration

  • Operating Properly

Bathroom - Floor & Tiles are:

  • Free of Hair

  • Free of Mold & Mildew

  • Free of Chips/Cracks & Stains

Shower, Tub, Sink & Vanity are free of:

  • Hair

  • Free of finger prints

  • Free of Chips/Cracks & Stains

  • 2 small mineral water (from 6 to 8 floor and Suites)

Mirrors

  • Free of Stains

  • Free of Mold & Mildew

  • Free of Chips/Cracks

Toilet - Seat, base, cover are free of

  • Hair

  • Odour

  • Free of Chips/Cracks & Stains

  • Operating properly

Bath Linen - 2 bath towels, 2 face towels, 2 hand towels & 1 bath mat are free of;

  • Hair

  • Odour

  • Stains

  • Snags/Pulls

Bath Amenities

  • Free of Hair

  • Free of Odour

  • Free of Stains

  • 01 Soap, 01 Lotion, 01 shower cap, 01 Shoe Mint available

  • 01 Tissue Box and 02 Toilet Rolls available

Comments / Observations

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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.