Employee Housing Inspection Checklist Form
Use this form to document an employee housing inspection, record condition and safety findings, and note any follow-up actions needed.
Inspection Details
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
Property or Housing Unit ID
*
Housing Location / Building / Unit Reference
*
Inspection Checklist
Overall Condition Rating
*
Poor
1
2
3
Excellent
4
1 is Poor, 4 is Excellent
Inspection Checklist
*
Rows
Excellent
Good
Fair
Poor
Cleanliness
1
2
3
4
Plumbing
5
6
7
8
Electrical
9
10
11
12
Safety Equipment
13
14
15
16
Furnishings
17
18
19
20
Structural Condition
21
22
23
24
Issue Severity / Urgency
*
Please Select
No issues
Minor issue
Needs attention soon
Urgent
Findings / Issues Noted
*
Follow-up and Resolution
Required Actions or Maintenance Requests
*
Responsible Team or Assignee
*
Please Select
Maintenance
Facilities
Property Management
Cleaning Team
Electrical
Plumbing
Other
Target Completion Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Final Comments or Reinspection Notes
Submit Inspection
Should be Empty: