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

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