Residential Facility Monthly Checklist Form
Complete this checklist to document the monthly inspection and maintenance tasks for the residential facility.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector's Full Name
*
First Name
Last Name
General Cleanliness (floors, surfaces, common areas)
*
All areas clean and tidy
Trash removed
Restrooms cleaned
Safety Equipment Check (fire extinguishers, alarms, emergency lights)
*
Fire extinguishers inspected
Smoke/CO alarms tested
Emergency exit lights functional
Maintenance Issues Noted (plumbing, HVAC, electrical)
*
No maintenance issues found
Plumbing in good condition
HVAC operational
Electrical systems checked
Pest Control Status
*
No signs of pests
Pest control measures in place
Lighting (all bulbs working, emergency lights tested)
*
All common area lights functional
Emergency lighting tested
Exterior and Grounds (walkways, parking, landscaping)
*
Walkways clear and safe
Parking area maintained
Landscaping trimmed/clean
Fire Safety Compliance (exits clear, signage visible)
*
Emergency exits accessible
Exit signage visible
Water, Heating, and Utility Systems
*
Hot and cold water available
Heating/cooling operational
No utility outages reported
Additional Notes or Comments
Submit Checklist
Should be Empty: