Title Page
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Conducted on
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Prepared by
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Location
Entrance and Foyer Area
Foyer Area
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Define location
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Floors
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Walls & skirts
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Doors & frames
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Window/Glass & sills
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Furniture & Fixtures
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Bins no more than 3/4 full and fully lined
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Entry mat
Staff Kitchen
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Floors
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Walls & skirts
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Doors & frames
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Window/glass & sills
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Bench tops & sinks
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Cabinets
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Bins no more than 3/4 full and lined
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Sufficient consumables
Change Room or Toilet
- Toilet
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Define location
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Male/Female/Accessible
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Floors
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Walls & skirts
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Doors & frames
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Window/Glass & sills
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Mirror, vanity and sinks
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Toilets
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Urinals
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Showers
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Sanitary bins
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Sharps dispenser
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Bins no more than 3/4 full and lined
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Sufficient consumables
Cleaners Cupboard
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Define location
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Clean & tidy
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Chemicals labelled & stored correctly
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SDS
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Machinery tagged & tested
Gym
Public Area
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Floors
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Walls & Skirts
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Doors & frames
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Window/glass & sills
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Furniture & fixtures
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Bins no more than 3/4 full and lined
Staff Office
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Floors
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Walls & Skirts
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Doors & frames
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Window/glass & sills
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Furniture & fixtures
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Bins no more than 3/4 full and lined
Comments
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Periodicals complete since last inspection
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Comments