Information
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Work Order 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
Interior Janitorial
General Interior
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KEY
5 - Exceeds Service Expectation
4 - Meets Specifications
3 - Marginal Pass
2 - Service/Rework Required
1 - Unacceptable -
Rate Entry Mats
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Carpeted Floors<br>
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Walls and Baseboards <br>
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Interior Store Front Glass, Mullions, & Entrance Doors<br>
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Window Blinds/Shades<br>
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Interior Glass<br>
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Dusting<br>
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Diffusers<br>
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Ceiling Tiles<br>
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Drinking Fountains<br>
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Take a picture of the issue
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Is this presenting a safety hazard
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Rate Furniture/Tables/Chairs<br>
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Interior ATMs<br>
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
Offices
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KEY
5 - Exceeds Service Expectation
4 - Meets Specifications
3 - Marginal Pass
2 - Service/Rework Required
1 - Unacceptable -
Rate Furniture/Chairs/Desks<br>
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Walls/Wall Covering/Baseboards <br>
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Wall Glass/Doors
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
Bathrooms
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KEY
5 - Exceeds Service Expectation
4 - Meets Specifications
3 - Marginal Pass
2 - Service/Rework Required
1 - Unacceptable -
Rate Bathroom Walls
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Bathroom Floors & Drains
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Bathroom Cabinetry/Counter/Mirror
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Bathroom Plumbing Fixtures
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Bathroom Dispensers
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Bathroom Baby Changing Station
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Are free-standing trash cans in a location that allows uninterrupted access to commodes, grab bars, and dispensers in the restroom?
Break Rooms
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KEY
5 - Exceeds Service Expectation
4 - Meets Specifications
3 - Marginal Pass
2 - Service/Rework Required
1 - Unacceptable -
Rate Break Room Furniture
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Break Room Cabinetry/Counters
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Break Room Vinyl Floors<br>
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Break Room Walls/Baseboards<br>
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Break Room Sinks<br>
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Break Room Appliances <br>
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Break Room Trash
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
Janitorial Closets
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Rate Janitorial Closets
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Take a picture of the issue
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Describe the issue
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Is this presenting a safety hazard
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Do all the chemical in the janitorial closet have a SDS and are the sheets easily accessible?
Facility Condition & Operation
General Interior
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KEY
5 - Exceeds Service Expectation
4 - Meets Specifications
3 - Marginal Pass
2 - Service/Rework Required
1 - Unacceptable -
Rate Carpet
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Baseboard
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Paint
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Art Work/Vinyl/Pinset Letters
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Door/Door Hardware
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Window & Sills
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Shades/Blinds
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Furniture
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Health of Interior Plants
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Lighting
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate HVAC
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
Bathrooms
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KEY
5 - Exceeds Service Expectation
4 - Meets Specifications
3 - Marginal Pass
2 - Service/Rework Required
1 - Unacceptable -
Rate Cabinetry, Counter Tops and Mirrors
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Tile Floor/Walls
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Plumbing Fixtures
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Dispensers
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Condition of Baby Changing Station
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
Break Rooms
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KEY
5 - Exceeds Service Expectation
4 - Meets Specifications
3 - Marginal Pass
2 - Service/Rework Required
1 - Unacceptable -
Rate Vinyl Floors
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Walls/Paint
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Furniture/Counter/Cabinets
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Sinks
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
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Rate Appliances
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Take a picture of the issue
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State the issue
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Is this presenting a safety hazard
Building Exterior - Janitorial & Maintenance
Building Exterior
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KEY
5 - Exceeds Service Expectation
4 - Meets Specifications
3 - Marginal Pass
2 - Service/Rework Required
1 - Unacceptable -
Rate the Overall Cleanliness
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Add media
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Is this presenting a safety hazard
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Rate the Landscaping
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Add media
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Is this presenting a safety hazard
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Rate Building Exterior Glass
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Take a Picture of the Issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Building Exterior Canopies
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Take a Picture of the Issue
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Describe the issue
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Is the Issue Presenting a Safety Hazard
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Rate Exterior Lighting and Signage
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Take a Picture of the Issue
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Describe the issue
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Is the Issue Presenting a Safety Hazard
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Rate Sidewalk Cleanliness
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Is the Issue Presenting a Safety Hazard
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Take a Picture of the Issue
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Describe the issue
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Is this presenting a safety hazard
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Rate Trash Containers
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Take a Picture of the Issue
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Describe the issue
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Is the Issue Presenting a Safety Hazard
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Rate the Exterior Dumpster Encl.
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Add media
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Is this presenting a safety hazard
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Does building need to be painted or power washed?
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Is landscaping well maintained?
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Rate the Overall Parking Lot Cleanliness/Maintenance
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Add media
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Is this presenting a safety hazard
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Is parking lot free of trash?
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Is parking lot striping satisfactory
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Are wheel stops and curbs in good condition?
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Any potholes in parking lot
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Have abandoned cars/vehicles/trailers been removed
Rooftop & Mechanical Systems
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Is the cooling tower in good Condition?
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Is this presenting a safety hazard
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Is cooling tower basin clean and free of debris
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Is this presenting a safety hazard
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Are exhaust fans and vents in good condition and clear of any debris?
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Is this presenting a safety hazard
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Are the rooftop surfaces and flashing in good shape and free of debris or storage?
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Is this presenting a safety hazard
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Are catwalks, stairways and hand rails free of debris
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Is this presenting a safety hazard
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Are roof drains clean and free of debris so roof can drain properly? Is there any signs of ponding?
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Is this presenting a safety hazard
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Note any unsafe of at risk conditions with the rooftop mechanical systems or roof surface
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Is this presenting a safety hazard
Mechanical
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Are chillers operating properly and chiller logs filled out?<br>Note supply and return temperatures for both condenser and chilled water.
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Is this presenting a safety hazard
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Check all condenser and chilled water systems for proper operation; motors pumps VFDs, plumbing, insulation, etcCheck .
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Is this presenting a safety hazard
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Check hot water supply for proper operation.<br>Plumbing, PVRs, Insulation, etc.
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Is this presenting a safety hazard
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Check water treatment equipment for proper operation. Are chemicals labeled and stored properly?
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Is this presenting a safety hazard
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Note any unsafe or at risk condition with the mechanical systems.
Air Handler Mechanical Rooms; Note floors inspected
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Are logs filled out daily?
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Is this presenting a safety hazard
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Are VFDs operating properly?
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Is this presenting a safety hazard
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Inspected filters?
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Is this presenting a safety hazard
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Inspected belts?
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Is this presenting a safety hazard
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Are guards in place and do they protect from personal injury?
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Is this presenting a safety hazard
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Does the equipment appear to be operating properly with no unusual noise or vibration?
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Is this presenting a safety hazard
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Note any unsafe or at risk condition in the air handler mechanical rooms.
Electrical Closets; Note Floors Inspected
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Does the electrical room appear to be in good condition, with no unusual noise or vibration?
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Is this presenting a safety hazard
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Are panels in good condition?
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Is this presenting a safety hazard
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Are the transformers and panels free of obstruction?
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Is this presenting a safety hazard
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Note any unsafe or at risk condition in the electrical closets.
Switchgear, UPS & Generator
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Is the switchgear tested on a scheduled basis and are they labeled with the last date tested?
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Is this presenting a safety hazard
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Is the UPS system in good operation condition? Check for panel alarms.
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Add media
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Is this Presenting a safety issue
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Note any unsafe or at risk condition in these areas?
Fire Protection Systems and Controls
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Is the fire panel inspection current?
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Is this presenting a safety hazard
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Is the fire sprinkler inspection current?
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Is this presenting a safety hazard
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Is the fire pump inspection current?
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Is this presenting a safety hazard
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Is the fire extinguisher inspection current?
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Is this presenting a safety hazard
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Is the floor area around all pull stations/fire extinguishers clear within a 4' radius?
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Is this presenting a safety hazard
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Note any unsafe or at risk conditions with the fire protection systems.
Other Systems and Areas
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Is the domestic water pump operating properly? Plumbing, insulation, pump & motor
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Is this presenting a safety hazard
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Are back flow preventers inspected annually?
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Is this presenting a safety hazard
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Are parts room, storage areas and C&W occupied areas clean and orginized?
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Is this presenting a safety hazard
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Note any unsafe or at risk conditions
Overview & Signature
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Additional Comments or Concerns About the Property
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Signature of Inspector