Sample Student Room Inspection Form (Page 2 of 3) in pdf

Sample Student Room Inspection Form Page 2

SAMPLE INSPECTION FORM

¨ Smoking

¨ Theft/Non-Accidental Damage

¨ Unauthorized Entry or Use Weapons

¨ Windows, Balconies and Patios

¨ Other:

BATHROOM

6. CLEANLINESS, HEALTH AND HYGIENE *

Reasonable efforts must be made to maintain proper personal cleanliness and hygiene. Rooms

and apartments must be kept clean and sanitary at all times.

Check all that apply.

¨ none

¨ dirty ceiling

¨ dirty floor

¨ dirty shower

¨ dirty toilet

¨ dirty wall(s)

¨ excessive trash

¨ empty alcohol containers

¨ Other:

7. FIRE ALARM/FIRE SAFETY *

Check all that apply.

¨ none

¨ removed, covered, or disabled smoke detector covered or items attached to sprinkler

disabled or removed door closer

¨ prohibited cooking device

¨ Other:

8. ELECRICAL SAFETY *

Check all that apply.

¨ none

¨ extension cords

¨ more than two power strips

¨ power strips plugged into each other modifications to wiring

octopus or multi-outlet device

no breaker on power strip

Other:

9. OTHER POLICIES *

Check all that apply.

¨ None

¨ Appliances

¨ Bicycles Candles/Incense/Flamables Damages/Vandalism Decorating/Posting

Doors/Door Locks

Page 2 of 3

Sample Student Room Inspection Form Page 2