Title Page
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Document No.
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Audit Title
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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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Dispensers are full & Clean
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Dispensers are working
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Dispensers stickers are present and not peeling off (body wash, shampoo, conditioner, hand wash)
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Door are in working order and clean
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Shower heads are clean & free from lime scale
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Walls are clean
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Floor is clean (check for hair, body fat, grouting etc)
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Sign once completed: