Free Facility Checklist Form Template
Facility Checklist Form
Please fill out the form with your information below.
Facility Name
Address
Date of Inspection
General Information
1. Facility Condition
Cleanliness
Maintenance Needs
Safety Hazards
2. Building Exterior
Roof Condition
-
Good
-
Damaged
Windows and Doors
-
Secure
-
Damaged
Parking Area
-
Adequate
-
Needs Repair
3. Fire Safety
Fire Alarms
-
Working
-
Malfunctioning
Fire Exits
-
Unblocked
-
Blocked
Extinguishers
-
Available
-
Not Available
Maintenance & Repairs
4. HVAC Systems
Heating
-
Working
-
Not Working
Air Conditioning
-
Working
-
Not Working
Elevators
-
Operational
-
Malfunctioning
Additional Notes/Comments
Action Required
-
Immediate Attention
-
Scheduled for Maintenance
-
No Action Required
Date:
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