Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
ROOM 1
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IS THE ROOM CLEAN?
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Is the flooring in good condition?
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Are the appliances in working order?
ROOM 2
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IS THE ROOM CLEAN?
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Is the flooring in good condition?
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Are the appliances in working order?
ROOM 3
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IS THE ROOM CLEAN?
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Is the flooring in good condition?
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Are the appliances in working order?
ROOM 4
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IS THE ROOM CLEAN?
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Is the flooring in good condition?
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Are the appliances in working order?
ROOM 5
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IS THE ROOM CLEAN?
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Is the flooring in good condition?
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Are the appliances in working order?
ROOM 6
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IS THE ROOM CLEAN?
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Is the flooring in good condition?
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Are the appliances in working order?
ROOM 7
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IS THE ROOM CLEAN?
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Is the flooring in good condition?
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Are the appliances in working order?
ROOM 8
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IS THE ROOM CLEAN?
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Is the flooring in good condition?
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Are the appliances in working order?
ROOM 9
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IS THE ROOM CLEAN?
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Is the flooring in good condition?
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Are the appliances in working order?
ROOM 10
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IS THE ROOM CLEAN?
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Is the flooring in good condition?
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Are the appliances in working order?
ROOM 11
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IS THE ROOM CLEAN?
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Is the flooring in good condition?
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Are the appliances in working order?
ROOM 12
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IS THE ROOM CLEAN?
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Is the flooring in good condition?
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Are the appliances in working order?
CORRIDORS
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Are corridors clean?
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Are they free of obstrctions?
LAUNDRY
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Is the area clean?
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Is the area free from obstructions?
ELECTRICAL CUPBOARDS
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Is the area free from obstructions?
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Is the area in good condition?
COMMUNAL TOILETS
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Is the area clean?
STORAGES
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Is the area free from obstruction?
OUTSIDE PREMISES
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Does the area look presentable?
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Are the paths free from obstruction?
OTHER
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Name
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Date