Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Room
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High dusting done?
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Matteress free rips
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Bed stand cleaned?
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Over bed table cleaned?
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Light fixtures and lamps free of dust?<br>
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Arm chairs cleaned?
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Cubical curtain cleaned?
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Waste basket cleaned ?
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Toilets cleaned?
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Sinks cleaned?
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Walls cleaned?
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Drapes free of dust?
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Free of rodent dropping?
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Free of cob webs?
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Dust mop floor done?
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Mop floors done?
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Soap dispenser cleaned?<br>
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Windows cleaned?
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Free of any odor?
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Furniture cleaned?
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Mirrors cleaned?
Page 2
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Room