Housing Checklist

Item Condition Task to complete Review Date (/ X )

Living Room/Dining Room Floor

Walls and Ceiling

Door(s)

Door(s) lock and hardware

Lighting Fixture(s)

Window(s) & Screen(s)

Window Covering/Blinds

Smoke Alarm

Carbon Monoxide Alarm

Fireplace

Kitchen Floor

Walls and Ceiling

Door(s)

Door(s) lock and hardware

Lighting Fixture(s)

Window(s) & Screen(s)

Window Covering/Blinds

Cabinets

Counters Stove/Oven/Range Hood

Refrigerator

Dishwasher

Sink/plumbing

Bathroom(s) Floor

Walls and Ceiling

Door(s)

Door(s) lock and hardware

Lighting Fixture(s)

Window(s) & Screen(s)

Window Covering/Blinds

Sink/Plumbing

Bathtub/Shower

Toilet

Bedroom #1 Floor

Walls and Ceiling

Door(s)

Door(s) lock and hardware

Lighting Fixture(s)

Window(s) & Screen(s)

Window Covering/Blinds

Closet Bedroom #2 Floor

Walls and Ceiling

Door(s)

Door(s) lock and Hardware

Lighting Fixture(s)

Window(s) & Screen(s)

Window Covering/Blinds

Closet

Bedroom #3 Floor

Walls and Ceiling

Door(s)

Door(s) lock and Hardware

Lighting Fixture(s)

Window(s) & Screen(s)

Window Covering/Blinds

Closet

Hallway(s) Smoke Alarm

Carbon Monoxide Alarm

Floor

Walls/Ceiling Lighting Fixtures

Closet(s)

Other Heating/Cooling System

Washer

Dryer

Patio

Lawn

Parking Area

Comments:

______

______

Name Date

______

Name (Housing Case Manager) Date