Duty Log Form 2025-2026

The duty log should be filled out as you complete rounds. If it is easier you may want to type responses in a separate document so you do not lose your work. You can include any concerns or issues that you see while on rounds (facilities concerns, any interactions with staff or residents, and any incident you respond you such as noise complaints). Please list the times and building/room number if you responded to a noise complaint. This form should be submitted after your final set of rounds before you go to sleep.

Today's Date Today's Date / MM / DD YYYY
RA on Call
2nd RA on Call (when applicable)
Your Email
Please select which side of campus are you on

Please select which side of campus are you on West Area East Area
Duty Round Details:
Please include residents you interacted with, notes of things happening in the building, note of whether bathrooms were checked or not other details worth noting.

This is the description of your section break.
Start time of 1st Round: Start time of 1st Round: : HH MM AM/PM
1st Round Details:
Start time of 2nd Round: Start time of 2nd Round: : HH MM AM/PM
2nd Round Details:
Start time of 3rd Round: Start time of 3rd Round: : HH MM AM/PM
3rd Round Details:
Start time of 4th Round (weekend) Start time of 4th Round (weekend) : HH MM AM/PM
4th Round Details:
General Reporting:

This is the description of your section break.
Did you see any facilities concerns this evening?

Did you see any facilities concerns this evening? Yes No
If yes, did you submit a work order or call an Area Coordinator? Include details about the work order you submitted if applicable.
Did you receive any calls on the duty phone? Include any details about these calls.
Did you submit any incident reports tonight?

Did you submit any incident reports tonight? None needed Not yet but I need to Yes.
Any cleaning notices/concerns that need follow up? (i.e. boxes/items outside of room, personal trash in bathroom, lounge concerns, etc.)

If yes, please explain. If not, just put "none".
I confirm that the fire safety blankets were in the kitchens during all of my rounds.

I confirm that the fire safety blankets were in the kitchens during all of my rounds. Yes No
If you selected no, please provide details here:
Did you or the RA on Day Duty complete any checkouts during your duty shift?
Please include first and last name, and the room number!
Any notes from the RA on Day Duty?
Shout out! Had an awesome co-RA, Area Coordinator, or security officer? Just want to show some love to your floor/staff? Give a short shout out here!
Use this space if you need to communicate additional information (i.e. - IR mentions, follow up you need someone to address, etc.)
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Duty Log Form 2025-2026

Duty Log Form 2025-2026

Duty Round Details: Please include residents you interacted with, notes of things happening in the building, note of whether bathrooms were checked or not other details worth noting.

General Reporting:

Duty Round Details:
Please include residents you interacted with, notes of things happening in the building, note of whether bathrooms were checked or not other details worth noting.