Documents - Facilities - Forms
Facilities
Forms
Classroom #____
By: _____________________________________________
Inspection Date: _____________
Doors
Door ok?
Yes
No
n/a
Hinges ok?
Yes
No
n/a
Locks ok?
Yes
No
n/a
Seals ok?
Yes
No
n/a
Open and close ok?
Yes
No
n/a
Windows
Glass and frame ok?
Yes
No
n/a
Locks ok?
Yes
No
n/a
Seals ok?
Yes
No
n/a
Open and close ok?
Yes
No
n/a
Electricals
Switches ok?
Yes
No
n/a
Light sockets ok?
Yes
No
n/a
Light bulbs ok?
Yes
No
n/a
Outlets ok?
Yes
No
n/a
Air Cond Indoor Unit
Turns on and off ok?
Yes
No
n/a
Remote control ok?
Yes
No
n/a
Change temperature ok?
Yes
No
n/a
Evaporator clear of debris and ice?
Yes
No
n/a
Drainage ok?
Yes
No
n/a
Restroom #____
By: _____________________________________________
Inspection Date: _____________
Doors
Door ok?
Yes
No
n/a
Hinges ok?
Yes
No
n/a
Locks ok?
Yes
No
n/a
Seals ok?
Yes
No
n/a
Open and close ok?
Yes
No
n/a
Windows
Glass and frame ok?
Yes
No
n/a
Locks ok?
Yes
No
n/a
Seals ok?
Yes
No
n/a
Open and close ok?
Yes
No
n/a
Electricals
Switches ok?
Yes
No
n/a
Light sockets ok?
Yes
No
n/a
Light bulbs ok?
Yes
No
n/a
Outlets ok?
Yes
No
n/a
Sinks
Sink ok?
Yes
No
n/a
Faucet ok?
Yes
No
n/a
Any leaks?
Yes
No
n/a
Toilets
Bowl ok?
Yes
No
n/a
Tank ok?
Yes
No
n/a
Seat ok?
Yes
No
n/a
Flush ok?
Yes
No
n/a
Any leaks?
Yes
No
n/a
Urinals
Urinal ok?
Yes
No
n/a
Flush ok?
Yes
No
n/a
Any leaks?
Yes
No
n/a
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