Correctional Facility Inspection Checklist Form
Document inspection details, assess compliance, and track corrective actions for correctional facilities.
Inspector Full Name
*
First Name
Last Name
Facility Name and Location
*
Date and Time of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Inspection Area
*
Please Select
Cell Blocks
Kitchen/Dining
Medical Unit
Recreation Area
Visitation Area
Other
Type of Inspection
*
Routine
Follow-up
Complaint-based
Other
Overall Condition / Risk Rating
*
1
2
3
4
5
Key Compliance Checklist
*
Rows
Compliant
Non-Compliant
Not Applicable
Security Procedures
1
2
3
Sanitation & Cleanliness
4
5
6
Medical Supplies
7
8
9
Fire Safety
10
11
12
Staff Presence
13
14
15
Inmate Welfare
16
17
18
Notable Issues or Violations Observed
Immediate Corrective Actions Taken
Follow-up Deadline or Next Review Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Inspection
Should be Empty: