House Name:
Client first name
Name:
Text field
Date:
Date
___________________________________________________________________________________________________________________
**Type Initials Next To Each Completed Task**
• Naloxone/Narcan on house premise, Not expired, and in the designated location Text field
• Fire extinguishers in the designated location and are charged Text field
• Smoke/Other detectors are operational & in their place/mounted correctly Text field
• First aid kit is in the correct location and has basic supplies Text field
• Reviewed Naloxone/Narcan use & location with each new member Text field
• Encouraged/Enforced at house meeting "One person speaks at a time" Text field
• Coordinated with the Chore Coordinator to discuss any house supplies needed and to fill out a House Supplies Order Form on Member Portal.Text field
• Make Sure All/Any postings are posted clearly in the house Text field
• Informed the house what supplies you will submit on the order form for the house to review. Text field
• Checked for any house issues and reported them to the house at the house meeting. Confirm Secretary notes on any said issues are correct Text field
• House Files are locked/secured with limited access to certain house members & access availability to any house members in emergency situations Text field
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