Premises Checklist

Indicate the condition of each item using the following codes, as well as comments:
E = Excellent G = Good F = Fair P = Poor M = Missing NA = Not Applicable


ADDRESS: ______________________________________________________________

BEDROOM BATHROOM
Floor/Carpet _____________________________ Floor _______________________________
Walls _____________________________ Walls _______________________________
Ceiling _____________________________ Ceiling _______________________________
Woodwork _____________________________ Woodwork _______________________________
Lights _____________________________ Lights _______________________________
Outlets _____________________________ Outlets _______________________________
Windows _____________________________ Bathtub _______________________________
Closet _____________________________ Shower _______________________________
Door/Lock _____________________________ Faucets _______________________________
Curtains _____________________________ Sink _______________________________
Furniture: _____________________________ Toilet _______________________________
________________________________________ Mirror _______________________________
________________________________________ Cabinets _______________________________
________________________________________ Towelracks _______________________________
________________________________________ Curtains _______________________________
________________________________________ Door/Lock _______________________________
________________________________________ Window _______________________________
________________________________________ Other _______________________________
________________________________________ __________________________________________
 
LIVING ROOM DINING ROOM
Floor/Carpet _____________________________ Floor/Carpet _______________________________
Walls _____________________________ Walls _______________________________
Ceiling _____________________________ Ceiling _______________________________
Woodwork _____________________________ Woodwork _______________________________
Windows _____________________________ Windows _______________________________
Screens _____________________________ Screens _______________________________
Fireplace _____________________________ Curtains _______________________________
Curtains _____________________________ Lights _______________________________
Lights _____________________________ Outlets _______________________________
Outlets _____________________________ Furniture: _______________________________
Closet _____________________________ __________________________________________
Furniture: _____________________________ __________________________________________
________________________________________ __________________________________________
________________________________________ __________________________________________
KITCHEN HALLS/STAIRS
Floor _______________________________ Floor/Carpet _______________________________
Walls _______________________________ Walls _______________________________
Ceiling _______________________________ Ceiling _______________________________
Woodwork _______________________________ Woodwork _______________________________
Lights _______________________________ Lights _______________________________
Outlets _______________________________ Outlets _______________________________
Windows _______________________________ Windows _______________________________
Door _______________________________ Other: _______________________________
Cabinets _______________________________ ___________________________________________
Countertops _______________________________ ___________________________________________
Curtains _______________________________ ___________________________________________
Cuttingboard _______________________________ ___________________________________________
Stove _______________________________  
Oven _______________________________  
Exhaust Fan _______________________________ OUTSIDE/ENTRANCE
Sink _______________________________ Porch/Railings _______________________________
Disposal _______________________________ Stairways _______________________________
Refrigerator _______________________________ Mailbox _______________________________
Other: _______________________________ Door/Lock _______________________________
__________________________________________ Light _______________________________
__________________________________________ Trashcans _______________________________
__________________________________________ Gate/Fence _______________________________
__________________________________________ Other: _______________________________
ADDITIONAL ITEMS
Air Conditioning ___________________________
Heat ___________________________
Hot Water ___________________________

COMMENTS/NOTES:

SIGNED:

Landlord: Tenant(s):
________________________________________ _________________________________________
________________________________________ _________________________________________
Date __________________________________ Date ___________________________________

This form is offered as a matter of service to Stanford affiliates and landlords. Stanford University shall not be liable for any damages whatsoever arising from any errors or omissions made herein.

Community Housing
Stanford University
630 Serra Street #110
(650) 723-3906

Last modified Tue, 24 May, 2011 at 14:33