University Dormitory Maintenance Inspection Form

Dormitory Name/Building Room Number Inspector Name Date of Inspection

Inspection Checklist

Area/Item	Condition	Comments/Notes
Walls	Good Needs Repair
Floors	Good Needs Repair
Ceiling	Good Needs Repair
Doors/Locks	Good Needs Repair
Windows	Good Needs Repair
Light Fixtures	Good Needs Repair
Bathroom/Plumbing	Good Needs Repair
Furniture	Good Needs Repair
Electrical Outlets	Good Needs Repair

Other Issues or Notes Inspector Signature Date Signed