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Facility Inspection Form

  1. FACILITY INSPECTION FORM

  2. Location*

  3. Security - Were all doors and windows secured?*

  4. Fire Extinguishers - Are all fire extinguishers in place and fully charged?*

  5. Emergency Lighting - Are all emergency lights working and EXIT lights illuminated?*

  6. Interior Lighting - Are all interior lights working?*

  7. HVAC - Is the inside temperature comfortable? Thermostats should be set at 74 in summer and 70 in winter.*

  8. Plumbing - Are all toilets, sinks & water fountains operational? *

  9. Interior Cleanliness - Is the general cleanliness of the facility acceptable?*

  10. Exterior Lighting - Are all exterior lights working?*

  11. Exterior Cleanliness - Is the general cleanliness of the exterior areas acceptable?*

  12. Flag - Is the American Flag in good condition and properly lit and displayed?*

  13. If there are any other issues, please identify here.

  14. If a follow up inspection is required, please list date, time and inspector's name here.

  15. Leave This Blank:

  16. This field is not part of the form submission.