Employee Facilities Checklist

Employee Name*

Inspection Date*

Time*

: HH

MM

Customer Service

Have you turned the computers on?*

Yes
No

Have you logged into Self Service again?*

Yes
No

Locker Rooms

*Acceptable Condition is deemed by the facilities manager and is subject to change.

Are the bathroom supplies fully restocked?*

Yes
No

What did you restock?*

Toilet paper
Hand Soap
Paper Towels
Trash Bag
We are out!

What are we out of?*

Are the lockers clean and free of personal belongings?*

Yes
No

What was wrong with the lockers condition?*

There was trash inside one or more of the lockers.
There were personal belongings in one or more of the lockers.
One or more of the lockers was damaged or had permanent markings on it.

Did you remove the personal belongings form the locker and secure them in the front desk or office?*

Yes
No

Please take a picture of the damage and/or permanent markings*

Are the stalls and/or urinals clean and free of damage?*

Yes
No

What Is wrong with the stalls and/or urinals?*

They were not clean.
They were damaged or vandalized.

Please take a picture of the damage to the stalls and/or urinals.*

Are the shower stalls clean and free of personal belongings?*

Yes
No

What was wrong with the shower stalls condition?*

One or more was dirty!
One or more stalls had personal items left inside.
One or more was damaged or vandalized!

What did you do with the personal belongings left inside?*

Threw them away. (Personal Hygiene)
Secured them in lost and found. (Valuables)

Please take a picture of the damage.*

Gym

Is the gym floor clean and free of debris?*

Yes
No

What was wrong with the condition of the gym floor?*

It was dirty.
It had one or more items of debris or equipment left on the floor.
It is damaged!

What did you do with the debris and/or equipment left on the gym floor?*

Threw it out. (Trash)
Moved it to lost and found. (Personal Items or Equipment)
Moved it back to its designated position. (Facility Equipment)

Please take a picture of the damage.*

Is all the facility equipment in good working order?*

Yes
No

What facility equipment is not in good working order?*

Bleachers.
Motorized basketball hoops.
Drop down divider screen.
Pickleball nets.
Volleyball nets.
Basketballs.
Ping Pong Table

What side Bleachers is damaged?*

*View from the customer service desk.

Which Basketball hoop is damaged?*

Please enter a number from 1 to 6.

Which Pickleball nets are damaged?*

Please enter a number from 1 to 4.

Which Volleyball nets are damaged?*

Please enter a number from 1 to 2.

Which Basketballs are damaged or deflated?*

Please enter a number from 1 to 12.

Employee Facilities Checklist