BANKSIA - LG2
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Conducted on
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Prepared by
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Location
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Is the public bathroom clean?
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Is the dining room clean (table, chair, and floor)?
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Is the lounge clean?
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Are the corridors carpet clean (including nurse station)?
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Is there any maintenance issue?
Room 1
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Is the room surface clean?<br>
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Is the bathroom clean?
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Is the room carpet/vinyl floor clean?
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Is there any maintenance issue?
Room 2
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Is the room surface clean?<br>
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Is the bathroom clean?
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Is the room carpet/vinyl floor clean?
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Is there any maintenance issue?
Room 3
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Is the room surface clean?<br>
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Is the bathroom clean?
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Is the room carpet/vinyl floor clean?
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Is there any maintenance issue?
Room 4
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Is the room surface clean?<br>
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Is the bathroom clean?
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Is the room carpet/vinyl floor clean?
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Is there any maintenance issue?
Room 5
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Is the room surface clean?<br>
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Is the bathroom clean?
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Is the room carpet/vinyl floor clean?
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Is there any maintenance issue?
Room 6
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Is the room surface clean?<br>
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Is the bathroom clean?
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Is the room carpet/vinyl floor clean?
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Is there any maintenance issue?
Room 7
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Is the room surface clean?<br>
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Is the bathroom clean?
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Is the room carpet/vinyl floor clean?
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Is there any maintenance issue?
Room 8
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Is the room surface clean?<br>
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Is the bathroom clean?
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Is the room carpet/vinyl floor clean?
-
Is there any maintenance issue?
Room 9
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Is the room surface clean?<br>
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Is the bathroom clean?
-
Is the room carpet/vinyl floor clean?
-
Is there any maintenance issue?
Room 10
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Is the room surface clean?<br>
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Is the bathroom clean?
-
Is the room carpet/vinyl floor clean?
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Is there any maintenance issue?
Room 11
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Is the room surface clean?<br>
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Is the bathroom clean?
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Is the room carpet/vinyl floor clean?
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Is there any maintenance issue?
Room 12
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Is the room surface clean?<br>
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Is the bathroom clean?
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Is the room carpet/vinyl floor clean?
-
Is there any maintenance issue?
Room 13
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Is the room surface clean?<br>
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Is the bathroom clean?
-
Is the room carpet/vinyl floor clean?
-
Is there any maintenance issue?
Room 14
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Is the room surface clean?<br>
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Is the bathroom clean?
-
Is the room carpet/vinyl floor clean?
-
Is there any maintenance issue?
Room 15
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Is the room surface clean?<br>
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Is the bathroom clean?
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Is the room carpet/vinyl floor clean?
-
Is there any maintenance issue?
Room 16
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Is the room surface clean?<br>
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Is the bathroom clean?
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Is the room carpet/vinyl floor clean?
-
Is there any maintenance issue?
Room 17
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Is the room surface clean?<br>
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Is the bathroom clean?
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Is the room carpet/vinyl floor clean?
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Is there any maintenance issue?
Room 18
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Is the room surface clean?<br>
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Is the bathroom clean?
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Is the room carpet/vinyl floor clean?
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Is there any maintenance issue?
