Information
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Document No.
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Department/Floor Inspected
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Conducted on
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Prepared by
Floors
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Is floors clean
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Is floors damaged (cracked tiles, cracked concrete ect.)
Walls
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Is walls clean
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Is walls damaged (cracks, paint peeling ect.)
Windows
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Is windows clean
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Is windows damaged (cracks ect)<br>
Aisles, Walkways and Stairs
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Not Obstructed
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Clean
Stairways
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Handrails not damaged
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No damaged steps
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Well Lighted
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Clean
Pest Control
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Monthly Servicing
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Is infestations/ Activity reported
HSE Sinaged
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Is the correct HSE Signs displayed
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Is HSE signs enough and legible
Tables and Chairs
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Is tables and chairs clean
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No damages
Lights
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No Flashing
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All working
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No Damages to light fittings
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No loose covers<br>
Signaturies
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Building Maintenance Representitive
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Date
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Facilities Manager
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Date