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Chris Stevens Contract Liaison Manager
Cleanscapes Van Inspections
Inspection carried out on
Location of inspection carried out
Cleaning operative Uniform
Route File present
Interior of cab
Inside of back of van
Action to follow
I hereby certify that all information is accurate and that an actual inspection was conducted.
Auditor's Printed Name & Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment;
or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is
permissible in your workplace or jurisdiction.
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