Title Page
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Canadian Blood Services
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1206 Emerson Avenue, Saskatoon, SK
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Conducted on
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Prepared by
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Supervisor on duty
Exterior of Building
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Exterior lights
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Exterior signs
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Doorbells
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Parking lot and sidewalks
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Exterior doors and windows
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Landscaping and waste disposal area
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Overall Condition of Building's Exterior
Area 1
Entrance - Reception - Registration Kiosk - Phlebotomy Waiting Area
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Check fire extinguisher(s) and initial tag(s)
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Condition of interior doors
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Handicap buttons/bars
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Flooring condition
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Condition of walls, baseboard, and trim
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Condition of lights, ceiling/ceiling tiles
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Condition of windows and window coverings
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Condition of furniture
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Condition of countertops, cupboards, drawers, and shelving
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Is all equipment securely mounted in place
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Overall condition of Entrance - Reception - Registration Kiosks - Phlebotomy Waiting Area
Area 2
Screening Rooms and Nurse Consulting Station - Screening/Prep Area - Phlebotomy Area - Fridge Incubator Area - Recovery Area
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Check fire extinguisher(s) and initial tag(s)
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Condition of interior doors
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Handicap buttons/bars
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Flooring condition
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Condition of walls, baseboards, and trim
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Condition of lights ceiling/ceiling tiles
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Condition of windows and window coverings
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Condition of furniture
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Condition of countertops, cupboards, drawers, and shelving
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Is all equipment securely mounted in place?
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Overall Condition of Screening Rooms - Nurse Consulting Station - Screening/Prep Area - Phlebotomy Area - Fridge Incubator Area - Recovery Area
Area 3
Public Washrooms - Lockers - Corridor
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Check fire extinguisher(s) and initial tag(s)
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Condition of interior doors
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Handicap buttons/bars
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Flooring Condition
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Condition of walls, baseboard, and trim
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Condition of lights, ceiling/ceiling tiles
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Are toilets, sinks, soap dispensers in working order/good condition?
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Condition of countertops, cupboards, drawers, and shelving
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Is all equipment securely mounted in place
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Overall Condition of Public Washroom - Lockers - Corridor
Area 4
Storage Area - Corridor - Critical Supply Storage
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Check fire extinguisher(s) and initial tag(s)
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Condition of interior doors
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Flooring condition
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Condition of walls, baseboards, and trim
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Condition of lights, ceilings/ceiling tiles
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Condition of windows and window coverings
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Condition of furniture
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Condition of countertops, cupboards, drawers, and shelving
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Is all equipment securely mounted in place
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Overall Condition of Storage Area - Corridor - Critical Supply Storage
Area 5
Janitor Room - Shipping/Receiving - Stock Holding Unit - Boiler Room - Mech/Electrical Room - IT Room - Fire Separation Area
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Check fire extinguisher(s) and initial tag(s)
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Condition of interior doors
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Flooring condition
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Condition of walls, baseboard, and trim
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Condition of lights, ceiling/ceiling tiles
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Condition of windows and window coverings
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Condition of countertops, cupboards, drawers, and shelving
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Is the boiler room, mechanical/electrical room free from all potential hazards
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Is all shelving and/or equipment securely mounted in place
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Are areas clearly marked
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Overall Condition of Janitor Room - Shipping/Receiving - Stock Holding Unit - Boiler Room - Mech/Electrical Room - IT Room - Fire Separation Area
Area 6
Business Center - Open Office - Breakout Rooms - Donor Relations Team - Corridor
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Check fire extinguisher(s) and initial tag(s)
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Condition of interior doors
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Handicap buttons/bars
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Flooring condition
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Condition of walls, baseboard, and trim
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Condition of lights, ceiling/ceiling tiles
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Condition of windows and window coverings
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Condition of furniture
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Condition of countertops, cupboards, drawers, and shelving
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Is all shelving/equipment securely mounted in place
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Overall Condition of Business Center - Open Office - Breakout Rooms - Donor Relations Team - Corridor
Area 7
Meeting Rooms - Staff Washrooms - Corridor - Staff Kitchen
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Check fire extinguisher(s) and initial tag(s)
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Condition of interior doors
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Handicap buttons/bars
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Flooring condition
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Condition of walls, baseboards, and trim
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Condition of lights, ceilings/ceiling tiles
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Are toilets, sinks, soap dispensers in working order/good condition?
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Condition of countertops, cupboards, drawers, and shelving
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Is all shelving/equipment securely mounted in place
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Condition of domestic appliances
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Overall Condition of Meeting Rooms - Staff Washrooms - Corridor - Staff Kitchen
Area 8
Manager/Supervisor Office - Corridor - Cafe - One Swab Station
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Check fire extinguisher(s) and initial tag(s)
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Condition of interior doors
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Handicap buttons/bars
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Flooring condition
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Condition of walls, baseboard, and trim
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Condition of lights, ceiling/ceiling tiles
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Condition of windows and window coverings
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Condition of furniture
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Condition of countertops, cupboards, drawers, and shelving
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Is all shelving/equipment securely mounted in place
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Overall Condition of Manager/Supervisor Office - Corridor - Cafe - One Swab Station
