Title Page

  • Conducted on

  • Prepared by

  • Personnel on duty in area

  • Location being inspected

COMMON AREAS

Common Area (109 / Horseshoe/114/111/Pipechase)

  • Everything is clean and within compliance

  • Chemicals are inventoried and property labeled

  • General inventory is complete and accurate

  • No maintenance issues exist in this area

  • No safety issues exist (blocked fire exits, trip hazards, wet floor, etc.)

Tower

  • Everything is clean and within compliance

  • Chemicals are inventoried and property labeled

  • General inventory is complete and accurate

  • No maintenance issues exist in this area

  • No safety issues exist (blocked fire exits, trip hazards, wet floor, etc.)

DORM 1

COMMON AREA

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

  • No safety issues exist (blocked fire exits, trip hazards, wet floor, etc.)

A

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

B

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

C

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

D

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

E

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

F

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

G

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

H

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

I

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

J

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

K

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

L

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

M

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

N

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

O

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

DORM 2

COMMON AREA

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

  • No safety issues exist (blocked fire exits, trip hazards, wet floor, etc.)

A

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

B

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

C

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

D

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

E

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

F

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

G

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

H

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

I

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

J

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

K

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

L

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

M

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

N

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

O

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

DORM 3

COMMON AREA

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

  • No safety issues exist (blocked fire exits, trip hazards, wet floor, etc.)

A

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

B

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

C

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

D

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

E

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

F

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

G

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

H

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

I

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

J

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

K

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

L

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

M

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

N

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

O

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

DORM 4

COMMON AREA

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

  • No safety issues exist (blocked fire exits, trip hazards, wet floor, etc.)

A

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

B

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

C

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

D

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

E

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

F

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

G

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

H

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

I

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

J

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

K

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

L

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

M

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

N

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

O

  • Everything is clean and within compliance

  • No maintenance issues exist in this area

Miscellaneous

  • Comments

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