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Safe House — House Check Daily Log
Safe House · Community Crisis Services

🏡 House Check Daily Log

Complete all applicable sections for your shift. Each tab submits separately — work through each section and submit when done.

Room by Room

House Check Client List

📋 Shift Information
🏠 Room Status & Check Times

Status codes: W-IN = Woman In · W-OUT = Woman Out · C-IN = Child In · C-OUT = Child Out · M-IN = Man In · M-OUT = Man Out

Room Bed Client Name Case # 12AM HC#1 2AM HC#2 5AM HC#3 8AM HC#4 12PM HC#5 5PM HC#6 10PM HC#7 Notes

Add clients to each room. Leave blank if bed is unoccupied.

📝 General Notes

Daily Meals

Client Tracker & Meals Served

📅 Shift Info
🍳 Breakfast
🍽️ Lunch
🌙 Dinner
📊 Daily Totals

Parking & Vehicles

Clients with Vehicles

🚗 Vehicle Log

Record all client vehicles on site. Check that vehicles match registration and note any concerns.

# Client Name Color Make Model State Tag # Present? Notes
📋 Vehicle Notes

Shift Cleaning

Cleaning & Sanitation Log

📋 Shift Info
⏰ Hourly Sanitation Log

Check each area at the designated times. Check the box when completed.

Area
Time 1
Time 2
Time 3
Time 4
Door Handles
Bathrooms
Kitchen / Dining Room
Light Switches
Water Machine
Railings & Gates
✅ Cleaning Checklist
📝 Cleaning Notes

Confidential

⚠️ Safety & Abuser Information

🔒 Confidentiality Notice

This section contains highly confidential information about clients’ abusers and safety concerns. This information must be handled with the utmost discretion and shared only with authorized staff on a need-to-know basis. Do not share or discuss outside of secure channels.

📋 Log Info
⚠️ Abuser Work & Vehicle Information

Record known information about abusers who may attempt to locate clients — particularly those working for rideshare or delivery services that could be used for surveillance.

Client Name Abuser Name Employer / Service Vehicle Make & Model Plate # Known Threat Level Notes
📝 Safety Notes & Alerts
Safe House · Community Crisis Services, Inc. · All records are confidential