Library Facility Inspection Form
Use this form to systematically inspect and assess library facilities for safety, cleanliness, accessibility, and maintenance.
Inspector Name
*
First Name
Last Name
Inspector Email Address
*
example@example.com
Date and Time of Inspection
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Library Name or Location
*
Area(s) Inspected (e.g., Reading Room, Stacks, Restrooms)
*
Facility Condition Assessment
*
Rows
Cleanliness
Lighting
Seating & Furniture
Restrooms
Emergency Exits
Accessibility
Excellent
1
2
3
4
5
6
Good
7
8
9
10
11
12
Fair
13
14
15
16
17
18
Poor
19
20
21
22
23
24
Not Applicable
25
26
27
28
29
30
Are all fire safety and emergency equipment (e.g., extinguishers, alarms) in working order?
*
Yes
No
Not Applicable
Are there any maintenance issues observed?
Lighting issues
Damaged furniture
Restroom problems
HVAC or ventilation issues
Other
Please provide details of any issues found or actions required
Upload photos of issues (if any)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Inspector Signature
*
Submit Inspection
Submit Inspection
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