Free Facility Inspection Form

Please fill out this form completely to evaluate the condition, safety, and functionality of the facility.
Name
Date of Inspection
Facility Address
Inspection Purpose
Routine
Compliance
Follow-up
Is the facility clean and well-maintained?
Are floors, walls, and ceilings free of damage?
Are emergency exits accessible and clearly marked?
Are fire extinguishers, alarms, and safety equipment functional?
Are electrical, HVAC, and plumbing systems in good working order?
Are there any visible signs of leaks, outages, or malfunctions?
Is the facility compliant with accessibility standards (e.g., ramps, elevators)?
Are restrooms and common areas accessible and functional?
Immediate Repairs Required
Overall Facility Condition
Supporting Documents
Attach any relevant PDF, image, etc.
Recommendations or Actions Required:
Provide any recommendations or actions required based on the inspection findings.
[Your Name] Inspector [Date Signed] | Requestor |
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