Novant Health (HHI) Inspection Checklist

Novant Health General Inspection Checklist (HILTON HEAD REGIONAL PHYSICIANS GROUP)

Please ensure all required boxes are checked, all comments are listed, and all appropriate photos are attached to the relevant areas.
Property Name/Address*
Date*

MonthDayYear
Date

Entrance/Lobby Area*

Hallways/Common Areas*

Bathrooms*

	No Issues	Requires Further Attention	Bathroom Location (if applicable)
Flooring
Ceilings
Walls
Windows
Doors
Toilet
Toilet Valve
Toilet Handle
Sink Drain
Sink Faucet
Soap Dispensers
Hand Dryers/Paper Towel Dispensers
Lighting

Exam Rooms*

	No Issues	Requires Further Attention	Exam Room Number (if applicable)
Flooring
Ceiling
Walls
Windows
Doors
Sinks
Cabinets
Lighting

Offices*

	No Issues	Requires Further Attention	Office Location (if applicable)
Floor
Ceiling
Walls
Windows
Doors
Sinks
Lighting

Break Room*

Storage/Utility Rooms*

Emergency Lighting*

	No Issues	Requires Further Action
Exit Signs/Lights
Emergency Lights/Power

Emergency Lighting Comments
Emergency Lighting Photos
Emergency Lighting Photos_2
Emergency Lighting Photos_3
Additional Comments
Technician's recommendations from above for items requiring maintenance. Please copy from here work that you would like to schedule within your Client Hub.

Entrance: {entrancelobbyArea20}

Hallway/Common Area: {hallwayscommonArea}

Bathrooms: {bathroomsComments}

Exam Rooms: {examRooms40}

Office: {officeComments}

Break Room: {breakRoom43}

Storage/Utility Room: {storageutilityRoom}

Additional Comments: {additionalComments}
Initial here to indicate you have seen the technician's recommendations.*
NOTE: If there is more than one manager at your location, please designate one manager to fill out maintenance request from your inspection report.

To request and schedule any work from this inspection report, click the link below. It will open in a new tab. If you are clicking for the first time, you will have to login with your email.

Click Here for Client Hub
Maintenance Tech's Signature*

Clear
Inspection Completion Acknowledgment

Clear
Should be Empty:

Novant Health General Inspection Checklist (HILTON HEAD REGIONAL PHYSICIANS GROUP)