Title Page
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Conducted on
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Station
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Aircraft Tail #
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Clean Type
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Agents Performing Clean (LMS user ID)
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Prepared by
Flight Deck
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Floors Vacuumed & No Trash
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Photo Evidence
Forward Entry Area & FA Jumpseat
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Walls & Panels Clean
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Floors Cleane & Mopped
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PA Receiver Clean
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Jumpseat & Jumpseat Frame Clean
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Photo Evidence
Forward Lavatory
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Counters, sink, walls, door, toilet shroud, lid, seat and bowl cleaned & disinfected.
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Floor Clean
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Trash Empty
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Mirror Clean
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Lav Deodorized
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C-folds, facial & toilet tissue, femenine hygene products & approved hand soap restocked.
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Photo Evidence
Cabin
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Overhead bins & bin doors clean
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Trash removed from floors, seats and seat pockets
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Seats, seat backs, and seat frames clean. Seatbelts laid out straight.
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A321 Jumpseat and frame clean (row 26)
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Seatback contents front to back; Safety Briefing Card, airsick bag, Cabin Service Guide
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Tray tables, armrests, passenger service units, windows, shades and walls clean
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Photo Evidence
Aft Galley
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Counters & bins clean
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Trash cans empty & clean; liner replaced
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Ovens clean
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Ice bins empty and dry
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Walls, floors and vents clean
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Photo Evidence
Aft Lavatory
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Counters, sink, walls, door, toilet shroud, lid, seat and bowl cleaned & disinfected.
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Floor Clean
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C-folds, facial & toilet tissue, femenine hygene products & approved hand soap restocked.
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Changing table clean & disinfected
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Trash emptied & Lavatory deodorized
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Photo Evidence
Aft FA Jumpseat
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Walls & panels clean
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Floors clean & mopped
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PA receiver clean
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jumpseat and jumpseat frame clean
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Photo Evidence
Comments