Room Quality Checklist

• Room No

• Date

  Date

• Name

Question on standard

• 1. Is the entrance door clean and free from marks and scratches?

  Yes

  No

  N/A

• 2. Is the entrance skirting clean?

  Yes

  No

  N/A

• 3. Is the main door light working?

  Yes

  No

  N/A

• 4. Are the picture straight and free from dust?

  Yes

  No

  N/A

• 5. Are the furniture properly arranged and not torn?

  Yes

  No

  N/A

• 6. Is the boiling kettle clean and free from brown ring?

  Yes

  No

  N/A

• 7. Is the television clean and the channels turned correctly?

  Yes

  No

  N/A

• 8. Is the fridge clean both in and out and free of dirt on the door?

  Yes

  No

  N/A

• 9. Are all the light in the room working?

  Yes

  No

  N/A

• 10. Is the room spotless and free marks?

  Yes

  No

  N/A

• 11. Is the telephone and sockets working and sanitized?

  Yes

  No

  N/A

• 12. Is the bed with right wear and free from dirt under the mattress?

  Yes

  No

  N/A

• 13. Is the floor well mop and free from dirt?

  Yes

  No

  N/A

• 14. Is the air condition working properly?

  Yes

  No

  N/A

• 15. Are the ceiling corners free from cobweb?

  Yes

  No

  N/A

• 16. Are all surface clean and free from dirt?

  Yes

  No

  N/A

• 17. Is the window/ blind clean and free from dirt?

  Yes

  No

  N/A

• 18. Is the wardrobe clean and functional?

  Yes

  No

  N/A

• 19. Are there four hangers in the wardrobe?

  Yes

  No

  N/A

• 20. Are all the kitchen units clean?

  Yes

  No

  N/A

• 21. Was the fumigated upon check out?

  Yes

  No

  N/A

• 22. Is the bathroom door clean and free from dust?

  Yes

  No

  N/A

• 23. Are the bathroom edges clean and free from dust?

  Yes

  No

  N/A

• 24. The towel rail and faucets clean and shinning?

  Yes

  No

  N/A

• 25. Is the window/blinds clean and free from dirt?

  Yes

  No

  N/A

• 26. Are the bathroom wall clean and free from streaks?

  Yes

  No

  N/A

• 27. Is the bath basin and hand basin clean of dirt and hairs?

  Yes

  No

  N/A

• 28. Are all patient output u utensil clean and polished?

  Yes

  No

  N/A

• 29. Is the bathroom mirror clean?

  Yes

  No

  N/A

• 30. Was soap and tissue paper supplied on admission?

  Yes

  No

  N/A

• 31. Was the toilet paper folded and presented?

  Yes

  No

  N/A

• 32. Are all toilet areas inside and outside cleaned and mopped?

  Yes

  No

  N/A

• 33. Are all plugs clean and free from hairs and dirt?

  Yes

  No

  N/A

• 34. Are all bathroom blubs working and free from dusts?

  Yes

  No

  N/A

• 35. Are glass divider clean and free from streaks?

  Yes

  No

  N/A

• 36. Was grouting done and bathroom free from black stains

  Yes

  No

  N/A

• 37. Is the wash kettle clean and floor Stalinized?

  Yes

  No

  N/A

• 38. Is the WC clean and free from lime scale?

  Yes

  No

  N/A

Completion

• Additional Comments

• Employee Sign

  Sign

• Supervisor Sign

  Sign