Information
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Report Title
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Client / Site
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Specific Area
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Conducted on
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Prepared by
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Document No.
Lobby / Entrances / Concourse areas
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1. Trash removed / receptacles cleaned
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2. Dust mopped & Mopped,swept or Vacuumed floors
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3. Carpet free of spots/ gum removal and polished floors
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4. Furniture cleaning /general seating area cleanliness
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5. High and low dusting
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6. Vertical Surfaces (walls, doors, glass and stainless steel)
Restrooms
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1. Trash removed / Receptacles cleaned
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2. Clean and polished restroom's fixtures ( sinks, toilets, urinals, faucets etc)
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3. Clean / Dust mirror, glass
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4. Vertical surfaces ( walls and partitions)
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5. Dispensers clean, stocked and functional
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6. Floors swept and mopped/ clean appereance
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7. Horizontal surfaces ( sink counters, changing stations)
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8. Clean ventilation grills / light fixtures
Elevators
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1. Flooring
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2. Mirror, glass and stainless steel surfaces
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3. Elevator's tracks
More
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Other Problems Found
Problems
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Description
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Add media
Sign Off
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Inspector Signature
Corrective Actions
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Corrective Actions that will be undertaken
Problem, Recommendation
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Recommendation
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Completed by
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Completion Date
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Follow Up Date