Title Page
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Audit Title
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Conducted on
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Prepared by
Team Member
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Housekeeper:
Bedroom
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Is the room odorless/have a pleasant odor?
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Is the carpet clean and free of removable stains?
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Describe the problem (and set action task if required):
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Is the bed clean and presentable?
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Describe the problem (and set action task if required):
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Are resident's personal items and furniture clean and free of dust?
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Describe the problem (and set action task if required):
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Are other surfaces (counters, shelves, windows, etc.) clean and free of dust?
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Describe the problem (and set action task if required):
Bathroom
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Is the floor clean?
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Describe the problem (and set action task if required):
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Are the sink and shower clean and free of mold/mildew/rust?
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Describe the problem (and set action task if required):
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Is the toilet clean?
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Describe the problem (and set action task if required):
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Is the mirror clean and free of marks/dust/fingerprints?
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Describe the problem (and set action task if required):
Comments
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Any general comments?