MARTIN PLACE SKY SIGNS CHECKLIST

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

MARTIN PLACE

• HOLEY DOLLAR NORTH

  ON

  OFF

MACQUARIE SIGN

• "M"

  ON

  OFF

• "A"

  ON

  OFF

• "C"

  ON

  OFF

• "Q"

  ON

  OFF

• "U"

  ON

  OFF

• "A"

  ON

  OFF

• "R"

  ON

  OFF

• "I"

  ON

  OFF

• "E"

  ON

  OFF

• HOLEY DOLLAR EAST

  ON

  OFF

COMMENTS

• HOLEY DOLLAR NORTH

  YES

  NO

• HOLEY DOLLAR EAST

  YES

  NO

• MACQUARIE SIGN

  YES

  NO

• Signature of person creating the report.

  Sign