Information
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Site
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Conducted on
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Prepared by
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Position
1.0 Basement
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1.1 Basement Kitchen Tap
2.0 Ground Floor
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2.1 Kitchen Adjacent Reception Tap
3.0 First Floor
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3.1 Boardroom Kitchen Tap
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3.2 Main Floor Kitchen Tap
4.0 Second Floor
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4.1 Main Floor Kitchen Tap
Key
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Safe - Specified items are in good and safe condition (Battery light green, water clear, filter in place)
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At Risk - Specified item not in good condition and possibly unsafe.
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N/A - Not Applicable
General comments
Sign Off
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Auditors signature