Rosewood Village Staff Room Inspection

• Site conducted

• Conducted on

  Date

• Prepared by

• Location
  Address

• Room Number:

Staff Room

• Room Number:

• 2.1. Is room door serviceable and securable with room number in good repair?

  Yes

  No

  N/A

• 2.2. Is the floor clean & free of damage?

  Yes

  No

  N/A

• 2.3. Are walls clean & free of damage?

  Yes

  No

  N/A

• 2.4. Are windows, sills, frames and blinds clean and serviceable?

  Yes

  No

  N/A

• 2.5. Are Plugs/sockets/switches clean & operational?

  Yes

  No

  N/A

• 2.6. Are all lights clean & operational?

  Yes

  No

  N/A

• 2.7. Is the Air conditioner operational with housing & filter clean?

  Yes

  No

  N/A

• 2.8. Is the TV & AC remotes clean and in serviceable condition?

  Yes

  No

  N/A

• 2.9. Is the TV operational, clean and mounted to the wall?

  Yes

  No

  N/A

• 2.11. Is the room provided with 2 Towels & 1 Matt?

  Yes

  No

  N/A

• 2.12. Is the linen serviceable, clean with no rips or stains?

  Yes

  No

  N/A

• 2.13. Is the room provided with a bin and bin liner in place?

  Yes

  No

  N/A

• 2.14. Is the desk table wardrobe and wall shelf dusted & clean including the top?

  Yes

  No

  N/A

• 2.15. Have cobwebs been removed?

  Yes

  No

  N/A

• 2.16. Is the room free from signs of vermin?

  Yes

  No

  N/A

• 2.17. Is bathroom door serviceable?

  Yes

  No

  N/A

• 2.20. Is the hand basin/vanity cabinet in repair?

  Yes

  No

  N/A

• 2.21. Is the mirror & cabinet in good repair?

  Yes

  No

  N/A

• 2.22. Is the Shower recess/curtain in good repair and free of mold

  Yes

  No

  N/A

• 2.23. Are shower and basin taps clean and in a servable condition?

  Yes

  No

  N/A

• 2.24. Toilet seat, cistern & bowl in good repair?

  Yes

  No

  N/A

• 2.26. Are floor wastes clean?

  Yes

  No

  N/A

• 2.27. Is the exhaust fan in good repair and working as it should?

  Yes

  No

  N/A

• 2.28. Is the bar fridge, seals cleaned and defrosted?

  Yes

  No

  N/A

• 2.29. Is current required signage fitted to room: Evac Diagram- Correctly orientated, QR code sign

  Yes

  No

  N/A

• Yes

  No

  N/A