Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Room number:
Room Entrance Door -
Door exterior
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Door frame
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Door interior
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Electronic lock
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Secondary lock
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Door viewer
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Door closer
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Emergency Exit Plan Map
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Entry light
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Door Hardware
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Door Threshold
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Add signature
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Select date
Page two
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Walls
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Baseboards and Corner Guards
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Paint/Wallpaper
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Carpet
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Ceiling
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Furniture
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Dresser/Desk
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Mirrors
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Tables
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Chairs
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Nightstands
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Sofa
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Bed
Page three
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Luggage racks
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Pictures
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Waste Basket
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Clothes closet
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Telephone
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Telephone Check
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Telephone Cleanliness
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Telephone cord
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Telephone Wall Receptacle
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Select date
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Add signature
Page four
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TV/Radio
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TV cable wall receptacle
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Antenna/Cable Connectors
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TV Serial Number
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TV Channel Check/Radio Check
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Remote Control
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TV Cleaning
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Lamps/Switches/Outlets
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Wall switches
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Lamp Switches
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Lamp Scockets
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Light Bulbs
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Lamp Shades
Page five
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Lamp bases
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Lamp fixtures
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Plugs/Wires
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Switch/Receptacle Cover Plates
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Add signature
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Select date
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Windows
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Windows Gereral
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Window tracks
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Windows second lock
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Weather stripping/Window seals
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Window sills/Inside/Outside
Page six
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Bathroom
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Wash basin
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Faucet/Wash basin fixture
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Shower walls
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Shower fixtures
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Overflow cover
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Drain ring/Pop-up
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Toilet (lever,lid,seats,bolts,tank)
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Toilet Caulking
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Toilet Paper Holder
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Vanity
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Vanity Lighting
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Vanity outlet/plug-in
Page seven
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Facial tissue holder
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Towel bars
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Hair dryer
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Robe hook
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Wall switch
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Art Work
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Waste basket
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Shower rod
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Shower curtain
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Air vent grill
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Ceiling wall light fixtures
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Vanity mirror
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Bathroom door Front and Back
Page eight
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Bathroom floor
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Bathroom walls and ceilings
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Bathroom windows
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Select date
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Add signature