Title Page

  • Conducted on

  • Prepared by

  • Location

Untitled page

  • Tenant Details

  • Make of Extractor

  • Description of Extractor fan/flue

  • Location of Extractor fan/flue

  • Date of last Inspection/cleaning

  • Details of person/company conducting inspection/cleaning

  • Picture of cleaning certificate

  • What is required as a part of the clean

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.