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
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UNIT ID
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DATE ON SITE
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DATE
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TIME
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CLEAN
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SITED LEVEL
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WASTE REMOVED
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MAINS WATER IN / CLEAN WATER DRUMS AVAILABLE
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SHOWER HEAD CONNECTION
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DIRTY WATER CONNECTED TO FILTER SYSTEM
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WASTE WATER CONNECTED TO DRAIN / DIRTY WATER DRUM
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ELECTRICAL CONNECTIONS TO WMS
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ELECTRICAL CONNECTIONS TO MSDU
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ALL BOLTS FITTED CORRECTLY / TIGHTENED
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LOCKERS AVAILABLE
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NPU FUNCTIONING
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HEATING FUNCTIONING
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ADEQUATE LIGHTING
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SOAP / GEL / TOWELS / NAILBRUSH
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DOORS CLOSING CORRECTLY
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MIRRORS IN PLACE
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SIGNS IN PLACE
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ALL CERTIFICATES AVAILABLE AND IN DATE
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CLEARANCE AIR TEST CERTIFICATE DISPLAYED
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FAULTS IDENTIFIED
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INITIALS
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ALL FAULTS REMEDIED
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SUPERVISORS INITIALS
