Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • BEDS:

    RAISED AND DUSTED UNDERNEATH:
    BLUE ACCORDION UNDER THE BED:
    END OF BED FRAME:

  • Med rooms

HIGH DUSTING:

VERTICAL DUSTING / CLEANING:

HORIZONTAL DUSTING:

REST ROOM: Shower drains. Shower doors /corners Commode in shower. Sink / toilet pipes Mirror: Supplies:

Closets: Empty of all items.

FLOOR CARE: Edges / Corners

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