Georgetown University Residence Hall Common Area Inspection Form Page 4

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ITEM/AREA
CONDITION/WORK REQUIRED
NOTES
INSPECTED
(specific location please)
(specify chronic or vandalism)
& WORK TICKET #
BATHROOM ACROSS FROM ROOM NUMBER: 209
Sinks/Faucets/Mirrors
Good
Toilet Seats/Toilet Paper Dispensers
Toilet second from right doesn=t flussh
Stall Doors
Good
Light Bulb/Covers, etc.
Good
SHOWER AREA ACROSS FROM ROOM NUMBER: By room number 202
nd
Shower Heads/Faucets
Shower head on 2
shower on right
missing
Shower Curtains
All there
Fans/Ventilation
Works OK
Tiles
Dirty
BATHROOM ACROSS FROM ROOM NUMBER: 213
223
Sinks/Faucets/Mirrors
Good
Good
Toilet Seats/Toilet Paper
Not enough toilet paper over the
Good
weekends
Stall Doors
Fine
Good
Light Bulbs/Covers, etc.
Good
Good
SHOWER AREA ACROSS FROM ROOM NUMBER:
By the lounge
Shower Heads/Faucets
All there; shower leaks when you shower
Good
Shower Curtains
Too short for the showers
Too short for the shower
Fans/Ventilation
Working
Gets steamy
Tiles
Look dirty
Look dirty
Additional Comments: _____________________________________________________________________
_________________________________________________________________________________________
Return completed form to your Senior Staff by the date indicated

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