Blaine Moss

Housekeeping Audit

Housekeeping

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Information

Audit Title
Conducted on
Client / Site
Prepared by
Personnel

20 series Tank Farm and Loading Pad

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Area Score (0=Unacceptable; 1=Poor; 2=Fair; 3=Good; 4=Excellent)

30 series Tank Farm and Loading Pad

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Description:
Area Score (0=Unacceptable; 1=Poor; 2=Fair; 3=Good; 4=Excellent)

40 series Tank Farm and Loading Pad

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Description:
Area Score (0=Unacceptable; 1=Poor; 2=Fair; 3=Good; 4=Excellent)

Big Fuel Pad

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Description:
Area Score (0=Unacceptable; 1=Poor; 2=Fair; 3=Good; 4=Excellent)

Distillation and Reactor Bay Area

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Description:
Area Score (0=Unacceptable; 1=Poor; 2=Fair; 3=Good; 4=Excellent)

Shift Signatures

Shift Lead Signature
Operator Signature
Operator Signature

Blaine Moss

Housekeeping Audit

Housekeeping

Use this Template

Print as PDF

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