Georgetown University Residence Hall Common Area Inspection Form Page 3

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SAMPLE
GEORGETOWN UNIVERSITY
Residence Hall Common Area Inspection Form
Complex:__Harbin________________________________ Area Covered: ________Second Floor__________________________
Inspected By: _______Heather Malneritch______________ Phone #: __7-5102____ Date Inspected: ___Sept. 15, 2004________
ITEM/AREA
CONDITION/WORK REQUIRED
NOTES
INSPECTED
(specific locations please)
(specify chronic or vandalism)
& WORK TICKET #
CORRIDORS
Bulletin Boards
OKB a few tears in the one outside of 201
Carpet
Outside of all shower rooms, damp
Ceilings/ Ceiling Tiles
Fine
Doors/Windows
Stairwell door missing crash bar on the
side that faces the stairs
Fire Alarms/Extinguishers
OK
Lights/ Exit Signs
Exit sign by elevator is missing the back
side
Light Fixtures/Bulbs
Light outside of 209 is out
Mirrors
N/A
Telephones
N/A
Walls
Some chipping of the yellow, purple, and
red walls
LOUNGES
Carpet
One large stain in the middle of the
lounge
Ceiling/ Ceiling Tiles
Stains on ceiling above the stove
Furniture
Missing one end table
Kitchen Area
Fine
Microwave
Working well
Recycling Bins
In Corridor
Television Set
N/A
Windows/Blinds, etc.
Fine
Elevator Area
Carpet is worn in front of elevator
Trash Room/ Area
Good

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