Title Page
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Site conducted
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Contract Name
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Address
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Inspection Date
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Inspector
Functions
- Floor Audit
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Floor Description
Dust Wipes
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Furniture
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Ledges/Sills
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Telphones
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High Level
Floors
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Carpet
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Waste Bins
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Hard Floor
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Stairs / Lifts
Toilets
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Sinks
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Urinals
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Fittings
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Floor
Compliance & Sign off
Compliance
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Toolbox Talks up to date
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COSHH up to date & signed
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Insurance up to date
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RA's up to date & Signed
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HSE Policy up to date
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Enviromental Policy up to date
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Maintanace Observations/Additional Cleaning
Client Signature
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Clients Comments
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Final Score
- 90% - 100% Exceeds the specification
- 80% - 89% Confirms to the specification
- 70% - 79% Conforms to the specification with some minor non-conformities
- 60% - 69% Fails to meet the specification because the level of non-conformance is judged to be significant
- 0% - 59% Falls well short of the specifications and is judges as being unacceptable
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Client Name and Signature