Introduction
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Sito di conduzione
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Condotto su
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Preparato da
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Posizione
General Information
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Department Interested
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List of participants
Office
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General condition of cleaness?
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Everything is working?
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Orphan equiment?
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Is there any tools that supposed not to be in the area?
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Findings
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Cleaning log is < 24h?
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Is there any ongoing action to keep good general cleaness?
Lockers F
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General condition of cleaness?
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Orphan equiment?
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Is there any tools that supposed not to be in the area?
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Findings
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Is there any ongoing action to keep good general cleaness?
Lockers M
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General condition of cleaness?
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Orphan equiment?
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Is there any tools that supposed not to be in the area?
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Findings
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Is there any ongoing action to keep good general cleaness?
Completion
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Are there any other question(s) you want to raise?
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List down your question(s)
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Observations and Recommendations
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Findings
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Problem 1
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Problem 2
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Problem 3
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Problem 4
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Problem 5
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Full Name and Signature of the Inspector