Information
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Audit name
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Floor/Department Inspected
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Conducted on
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Inspection done by
Floors
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Clean
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Not Damaged
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Walls
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Clean
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Not Damaged
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Windows
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Clean
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Not Damaged
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Aisles, Walkways, Stairs
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Not Obstructed
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Clean
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Stairways
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Handrails not damaged
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Well lighted
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Clean
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Pest Control
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Monthly Servicing
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Is activities and infestations reported
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HSE Sinage
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Displayed
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Correct for area
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Legible
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Tables and Chairs
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Clean
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Not Damaged
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Doors and Locks
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Clean
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Not Damaged
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In working order
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Lights and Lightfittings
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Clean
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All working
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Not Damaged
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Not Loose
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Electrical
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Plugs and Fittings in order
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Power skirting clean and in order
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Outlets numbered
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DB Boards locked
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Legends in DB legible and correct
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Plants
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Clean
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Serviced
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Pot in order
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SIGNATURE STATUS
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Building Maintenance Representitive
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Facilities Manager