Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Room inspection

  • Door handle and lock intact?

  • Door and door closer free of damage?

  • Room flooring free of stains & or damage?

  • Walls & ceilings free of excessive staining & or damage?

  • Radiator working and free of damage?

  • Window free of damage with restrictors in place?

  • Furniture free of damage - wardrobe, drawer unit, desk, bed

  • Lights working?

  • Are shower, toilet and basin free of damage?

  • Are fridge, microwave, hob free of damage?

  • any further damage to report

Room number

  • undefined

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