Locker Inspection Notice Complete this for every locker inspection This form is only available to shelter sites. Open it from the Encounter Forms page Locker Inspection Notice Complete this every time a client's locker is opened and inspected. A printable notice for the client is generated when you submit. 1Client & Locker2Inspection3Signatures Inspection Date(Required) Time Locker Opened(Required) Hours : Minutes AM PM AM/PM Shelter(Required)Pick a site locationClient(Required)Pick a tenant or clientSub Residents Include Sub ResidentsBed Number(Required)Pick a roomClient Preferred NameClient PronounsCARES ID(Required)Locker Number(Required) Inspection DetailsFor staff records only. These answers are not printed on the client's notice.Reason for Inspection(Required) Routine (random, every two weeks) Suspected smoking Suspected drugs or drug paraphernalia Verbal or physical altercation Violence or suspected weapon Other Other Reason(Required)Was the client present?(Required) Yes No How was the locker opened?(Required) Lock code Lock was clipped Was the client given the new lock combination?(Required) Yes Not yet Leave notice for the client and tell them the new combination. Do not write the combination on this form.Were any contraband or prohibited items found?(Required) Yes No Items Found(Required) Drugs or drug paraphernalia Weapon Alcohol Smoking materials Food Excess belongings Other contraband Describe the items and what was done with them(Required)For example: confiscated, discarded, or bagged and tagged.Was this reported to Administrative Staff?(Required) Yes No Required by policy when drugs, weapons or other evidence of a crime are found.NotesAlso document the inspection in a progress note and the shift summary. Supervising Shelter StaffStaff Name(Required)Staff Title(Required)Staff Email(Required) The printable notice is emailed here.Staff Signature(Required)Your NameYour NameYour NameYour NameSupervising Security StaffSecurity Staff Name(Required)Security Staff Title(Required)Security Staff Signature(Required)Your NameYour NameYour NameYour Name
