Title Page
-
Conducted on
-
Prepared by
-
Document number
Are the larox bins emptied (at least 6 bins)
-
Bin 1
-
Bin 2
-
Bin 3
-
Bin 4
-
Bin 5
-
Bin 6
-
Bin 7
-
Bin 8
-
Bin 9
-
Bin 10
-
Bin 11
-
Bin 12
-
Bin 13
-
Bin 14
-
Total number of dirty bins
-
Total number of clean bins
Signature
-
SIgn