Information
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Entrance and Lobbies
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Elevators and Stairwells
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Office/Equipment Area
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Washrooms
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Kitchen / Lunch Room
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Exterior / Grounds
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Fitness Area (Gym)
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Building Staff Overall Scoring
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Additional Information?
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Follow up?
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C&W Services Rep. Signature