• Hospital Maintenance Checklist Form

    Complete this checklist to log facility checks and report any maintenance issues in the hospital.
  • General Cleanliness (hallways, rooms, and public areas)*
  • Lighting (bulbs, emergency lights, and exit signs)*
  • HVAC Systems (heating, ventilation, air conditioning)*
  • Fire Safety Equipment (extinguishers, alarms, sprinklers)*
  • Plumbing (restrooms, sinks, drains, water supply)*
  • Elevators and Lifts*
  • Electrical Systems (outlets, panels, backup power)*
  • Medical Equipment (routine visual check for damage or malfunction)*
  • Security (doors, locks, cameras, alarms)*
  • Should be Empty:
Select theme:
  • Default
  • Blue
  • Red
  • Brown
  • Green
  • Black
  • Pink
  • Dark Blue
  • Purple