Title Page
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Location
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Conducted on
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Satisfactory / Unsatisfactory
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Prepared by
Close Entrance
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Clean
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Litter / Rubbish
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Obstruction / Damage / Graffiti
Ground Floor
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Clean
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Litter / Rubbish
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1st Floor - stairs & land.
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Clean
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Litter / Rubbish
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Obstruction / Damage / Graffiti
2nd Floor - stairs & land
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Clean
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Litter / Rubbish
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Obstruction / Damage / Graffiti
3rd Floor - stairs & land
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Clean
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Litter / Rubbish
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Obstruction / Damage / Graffiti
Back Court
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Clean
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Litter / Rubbish
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Obstruction / Damage / Graffiti
Bin Store
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Clean
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Litter / Rubbish
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Obstruction / Damage / Graffiti
Re inspection Record
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Satisfactory / Unsatisfactory
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Date Re Inspected
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Reason for Re Inspection
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Further action required / taken: