CBU Residence Life Duty Log
* Required
RA Name:
*
Your answer
Date/Time
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Buildings on Round
*
Maurelian
Pender
O'Hare
Rozier
LLC
170
Avery
Stritch
Required
Inspection
*
Complete after final rounds
Lounges
Fire Extinguishers
Stairwells
Exit Doors/Alarms
Required
Rounds and Notes
Round 1
*
Provide Time and Notes here. This round should occur approx. ~7:00 PM
Your answer
Round 2
*
Provide Time and Notes here. This round should occur approx. ~10:00 PM.
Your answer
Round 3
*
Provide Time and Notes here. This round should occur approx. ~12:00 AM.
Your answer
Round 4 (Fri. and Sat. shifts only)
Provide Time and Notes here. This round should occur approx. ~2:00 AM.
Your answer
Additional Information
Warnings issued:
Your answer
Were there any reportable incidents?
*
If yes, please complete the RA Incident Report on the Residence Life website.
Yes
No
RA Signature
*
By including your full name here, you certify that the information in this log is correct, that your floor has been swept and all furniture has been returned to their respective rooms.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms