Information
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Jamatkhana/Facility:
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Conducted on
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Prepared by
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Location
Visual Inspection
Visual Inspection Items
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AC Filters:
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Work Needed (Please Describe):
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Work Needed (Please Describe):
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Comments:
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Carpet/Floor Condition:
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Work Needed (Please Describe):
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Work Needed (Please Describe):
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Comments:
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Doors/Locks:
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Work Needed (Please Describe):
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Work Needed (Please Describe):
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Comments:
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Emergency Lights:
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Work Needed (Please Describe):
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Work Needed (Please Describe):
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Comments:
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Exit Blockage (Doors):
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Work Needed (Please Describe):
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Work Needed (Please Describe):
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Comments:
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Exit Lights:
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Work Needed (Please Describe):
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Work Needed (Please Describe):
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Comments:
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Exterior Landscaping:
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Work Needed (Please Describe):
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Work Needed (Please Describe):
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Comments:
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Fans/Lights:
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Work Needed (Please Describe):
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Work Needed (Please Describe):
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Comments:
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Fire Extinguishers:
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Work Needed (Please Describe):
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Comments:
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Lights (Inside):
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Work Needed (Please Describe):
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Work Needed (Please Describe):
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Comments:
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Lights (Outside):
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Work Needed (Please Describe):
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Work Needed (Please Describe):
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Comments:
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Sound Quality/PA System:
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Work Needed (Please Describe):
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Work Needed (Please Describe):
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Comments:
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Thermostats:
Thermostat -
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Working Condition:
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Work Needed (Please Describe):
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Work Needed (Please Describe):
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Comments:
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Water Fountain(s):
Water Fountain -
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Working Condition:
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Work Needed (Please Describe):
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Work Needed (Please Describe):
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Comments:
Monthly Services
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AC/Heating Service:
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Date of Service:
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Verified By (Please Sign):
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Comments:
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Carpet Shampoo
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Date of Service:
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Verified By (Please Sign):
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Comments:
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Grease Trap:
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Date of Service:
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Verified By (Please Sign):
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Comments:
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Saaf Safai (Schedule/Frequency):
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Date of Service:
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Verified By (Please Sign):
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Comments:
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Pest Control Visit:
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Date of Service:
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Verified By (Please Sign):
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Comments:
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Refrigeration:
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Refrigeration/Freezer Equipment:
Unit -
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Type of Unit:
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Date of Service:
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Verified By (Please Sign):
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Comments:
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Vacuum Cleaner(s):
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Vacuum Cleaners:
Vacuum -
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Make/Model:
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Date of Service:
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Verified By (Please Sign):
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Comments:
Additional Comments:
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Additional Comments:
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Inspected By (Please Sign):
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Local IMARA Management Team Member (Please Sign):
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Your next Visual Inspection will be held again in 30 days