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Supported Accommodation
Semi-Supported Housing
Emergency Housing
Young People
Volunteers
About
Contact
Room Condition & Inventory
Step
1
of
5
20%
(Suitable for Move-In, Move-Out, and Regular Checks)
Property Address
(Required)
Street Address
Address Line 2
City
Postcode
Tenant Name
(Required)
First
Last
Room Number
Inspection Type
(Required)
Move In
Move Out
Weekly Check
Monthly Check
Date Of Inspection
(Required)
DD slash MM slash YYYY
Section 1: Room Condition & Safety
Access & Security
Room Door & Lock
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Window Restrictors
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Walls & Floors
Walls & Paintwork
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Ceiling
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Carpet / Flooring
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Electrical
Smoke Alarm
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Plug Sockets
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Light Fitting & Bulb
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Heater / Radiator
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Section 2: Furniture & Inventory
Sleeping Area
Bed Frame
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Mattress
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Mattress Protector
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Bedding Set
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Storage
Wardrobe
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Chest of Drawers
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Bedside Cabinet
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Section 2: Furniture & Inventory Continued
Soft Furnishings
Curtains / Blinds
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Mirror
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Waste Bin
(Required)
Good
Fair / Worn
Poor / Damaged
Missing
Comments / Action Required
Section 3: Cleanliness & Hygiene
Overall Cleanliness
(Required)
Pass
Fail
Comments / Action Required
Odour
(Required)
Pass
Fail
Comments / Action Required
Personal Items
(Required)
Pass
Fail
Comments / Action Required
Section 4: Declaration & Signatures
Staff Notes/Maintenance Requests:
Tenant Declaration:
(Required)
I confirm that the room is in the condition described above. I understand that I am responsible for maintaining the room in this state (allowing for fair wear and tear) and reporting any damages immediately.
Tenant Name
(Required)
First
Last
Date
(Required)
DD slash MM slash YYYY
Tenant Signature
(Required)
Please Sign
Staff Name
(Required)
First
Last
Date
(Required)
DD slash MM slash YYYY
Staff Signature
(Required)
Please Sign
Supporting Photo or Video Documentation
File
Max. file size: 512 MB.
File
Max. file size: 512 MB.
File
Max. file size: 512 MB.
File
Max. file size: 512 MB.
File
Max. file size: 512 MB.
File
Max. file size: 512 MB.
