ENCLOSURE 5_Unit_Level_Facility_QOL_Inspection_Checklist.xlsx

	A	B	C	D	E
1	Annex D Unit Level Facility QoL Inspection
2
3	Installation
4	Building #
5	Building RPUID
6	Unit Occupying Facility
7	Date of Inspection
8	Inspection POC (Name, Phone #)
9	Instructions: Conduct 100% room inspection. Answers in the negative or "red" for any one room will be indicated such for the entire building.
10
11	Used For All Unit-Assigned Real Property	Categories to Inspect	Commanders Assessment (Select from Drop-down Menu)	Questions to Answer	Comments
12		Wall Condition		Green (Outstanding): Walls are in good condition; Not gouged or stained; Conduits are concealed or covered. Amber (Satisfactory): Minor gouges, small nail holes, minor chips or stains requiring minor patches; Only spot/touch-up painting; Conduits exposed. Red (Unsatisfactory): Needs major repairs; Large hole need patching/repairs; Walls need painting.
13		Ceiling Condition		Green (Outstanding): Not gouged, stained, or broken; Amber (Satisfactory): Need minor repairs, Some gouged, stained, broken, missing pieces; Not more than 25% area. Red (Unsatisfactory): Needs major repairs; More than 25% damaged.
14		Door Condition		Green (Outstanding): Fully functional with less than 10% damage or stains; Amber (Satisfactory): More than 10% but less than 25% of door shows dents, gouges or stains 10%-25% of hardware does not operate smoothly or is damaged; Red (Unsatisfactory): Handles, push/kick plates need repair; More than 25% of the door shows dents gouges or stains; More than 25% of hardware is difficult to operate or fails to latch properly
15		Door Locks		If repair is needed, note room numbers in comments.
16		Water Intrusion		Are there any obvious signs of water intrusion; Are the window sills wet or warped? Water stains on ceiling or around windows? Include room numbers in comments.
17		Mold/Mildew		Any visible mold/mildew that is not related to housekeeping?	IF YES, Inspector must complete Dampness and Mold Visual Assessment
18		Insect Infestation		Are there signs of infestation? Live bugs, dead bugs and/or droppings. Include room numbers in comments.
19		Ceiling Fan		Is there a ceiling fan?
20		Air Humidity		Does the room feel moist? If yes, indicate in comments room numbers or entire building.
21		Dehumidifier		Is there a dehumidifier in rooms? If so, are they plumbed to a drain?
22		Temperature (Cooling)		Is the room cooling adequately?
23		Temperature (Heating)		Is the room heated adequately?
24		Thermostat		Each area has working individual climate controls? Include room numbers in comments for controls requiring repair.
25		Electrical (Capacity)		Are breakers frequently tripping?
26		Electrical Condition		Are there any missing face plates on outlets? Any exposed wiring? Include room numbers in comments.
27		Occupant Interviews		Interview the occupant. Has there been any issue with mildew/mold growth in the room? Include room numbers in comments.
28		Water Fountains		Good: Fully functional, no potential EHS Fair: functional, minor or cosmetic damage only. No EHS potentail issues Poor: not functional. Requires Repair Environmental, Health, Safety: presents potential EHS hazard. Required repair and/or further inspection Does the Water fountain have a bottle filler? If not, is a bottle filler required?
29		Bathrooms		Good: Fully functional, no potential EHS Fair: functional, minor or cosmetic damage only. No EHS potentail issues Poor: not functional. Requires Repair Environmental, Health, Safety: presents potential EHS hazard. Required repair and/or further inspection
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100