Night Checks
To be completed by night staff at beginning of shift
Living Room
Have you brushed and mopped the conservatory and dining room?
*
Yes
No
Are Items Put away? E.g. chairs, mobility aids
*
Yes
No
Have you wiped down all tables, dining chairs and residents chairs?
*
Yes
No
Have mobility aids been wiped?
*
Yes
No
Are all windows and doors closed and locked?
*
Yes
No
Back
Next
Kitchen
Please tick items you have cleaned
*
Fridge
Worktops
Hob
Bread Bin
Microwave
Extractor Fan
Other
Have bins been emptied and thrown out? (please replace bin liner once bins are emptied)
*
Yes
No
Hallway
Is storage room locked?
*
Yes
No
Is the front door locked?
*
Yes
No
Are fire doors closed? and clear of obstructions?
*
Yes
No
Is hallway wiped and cleaned?
*
Yes
No
Back
Next
Laundry Room
Is the washing machine empty?
*
Yes
No
Is the dryer empty?
*
Yes
No
Have all clothes been ironed and folded away?
*
Yes
No
Is the top cupboard locked?
*
Yes
No
Is the bottom cupboard locked?
*
Yes
No
Back
Next
Name of person completing the form
*
First Name
Last Name
Date of completing the form
*
/
Day
/
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Any additional information?
Signature
*
Submit
Should be Empty: