Summer Break Shutdown

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Teachers and Staff

• Everything unplugged.

  Yes

  No

  N/A

• Lights OFF

  Yes

  No

  N/A

• Exhaust fans/hoods OFF

  Yes

  No

  N/A

• Storage room and bathroom doors closed.

  Yes

  No

  N/A

• Windows closed and locked.

  Yes

  No

  N/A

• Blinds open.

  Yes

  No

  N/A

• Thermostats adjusted to 85, cool, auto.

  Yes

  No

  N/A

• Personal appliances taken home.

  Yes

  No

  N/A

• Other notes.

Custodians

• Custodial checklist completed

  Yes

  No

  N/A

• Other notes.

Kitchen

• Kitchen checklist completed.

  Yes

  No

  N/A

• Other notes.

Activity Director

• AD List completed.

  Yes

  No

  N/A

• Other notes.

General Notes