Title Page
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Conducted on
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Prepared by
Reception
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Fire Panel - (Any faults, alarms etc.)
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Fire Safety - Extinguishers in place & fire escapes clear
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Visual Check - Floor, walls, ceiling & furniture in good condition
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Power & lights working
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Emergency Lights Working
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Doors Working As Expected
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Radiators Working
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Other Notes
Break Room
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Plumbing Working - (Sink, Taps & Toilet Flushing)
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Fire Safety - Extinguishers in place & fire escapes clear
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Visual Check - Floor, walls, ceiling, toilet seats & furniture in good condition
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Bins Emptied
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Power & lights working
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Emergency Lights Working
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Doors Working As Expected
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Radiators Working
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Other Notes
Board Room
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Fire Safety - Extinguishers in place & fire escapes clear
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Visual Check - Floor, walls, ceiling & furniture in good condition
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Bins Emptied
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Power & lights working
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Emergency Lights Working
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Doors Working As Expected
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Radiators Working
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Other Notes
Office
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Fire Safety - Extinguishers in place & fire escapes clear
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Visual Check - Floor, walls, ceiling & furniture in good condition
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Bins Emptied
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Power & lights working
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Emergency Lights Working
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Doors Working As Expected
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Radiators Working
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Other Notes
Stage 1
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Fire Safety - Extinguishers in place & fire escapes clear
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Power & lights working
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Emergency Lights Working
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Extractor Fans Working
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Heating Working
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Plumbing (Tap Running)
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Shutter Doors Working
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Drapes Clean and In Place
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Behind Scaffolding Clean and Tidy
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Doors Working As Expected
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Other Notes
Stage 2
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Fire Safety - Extinguishers in place & fire escapes clear
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Power & lights working
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Emergency Lights Working
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Extractor Fans Working
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Heating Working
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Plumbing (Tap Running)
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Shutter Door Working
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Drapes Clean and In Place
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Behind Scaffolding Clean and Tidy
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Doors Working As Expected
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Other Notes
Stage 3
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Fire Safety - Extinguishers in place & fire escapes clear
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Power & lights working
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Emergency Lights Working
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Extractor Fans Working
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Heating Working
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Shutter Door Working
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Drapes Clean and In Place
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Behind Scaffolding Clean and Tidy
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Doors Working As Expected
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Other Notes
East Block
Ground Floor Corridor & Stairwell
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Fire Safety - Extinguishers in place & fire escapes clear
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Power & lights working
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Floor & Wall Condition
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Emergency Lights Working
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Doors Working As Expected
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Network Access Points On
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Other Notes
Room 1
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Power & lights working
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Visual Check - Floor, walls, ceiling & furniture in good condition
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Emergency Lights Working
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Doors Working As Expected
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Radiators Working
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Plumbing Working (Sink, Shower & Taps Running)
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Other Notes
Room 2
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Power & lights working
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Visual Check - Floor, walls, ceiling & furniture in good condition
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Emergency Lights Working
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Doors Working As Expected
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Radiators Working
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Plumbing Working (Taps Running)
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Other Notes
Room 3
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Power & lights working
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Visual Check - Floor, walls, ceiling & furniture in good condition
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Emergency Lights Working
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Doors Working As Expected
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Radiators Working
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Plumbing Working (Taps running & washing machines working)
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Other Notes
Room 4 (Toilets & Disabled Toilet)
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Power & lights working
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Floor & Wall Condition
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Emergency Lights Working
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Doors Working As Expected
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Fan Heaters Working
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Plumbing Working (Sink, Taps, Toilet seats & Flushing)
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Other Notes
First Floor Corridor & Stairwell
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Fire Safety - Extinguishers in place & fire escapes clear
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Power & lights working
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Carpet & Wall Condition
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Emergency Lights Working
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Doors Working As Expected
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Network Access Points On
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Other Notes
Room 5
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Power & lights working
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Visual Check - Floor, walls, ceiling & furniture in good condition
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Emergency Lights Working
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Doors Working As Expected
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Radiators Working
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Plumbing Working (Sink, Taps, Toilet seats & Flushing)
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Other Notes
Room 6
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Power & lights working
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Visual Check - Floor, walls, ceiling & furniture in good condition
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Emergency Lights Working
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Doors Working As Expected
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Radiators Working
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Plumbing Working (Sink, Taps, Toilet seats & Flushing)
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Other Notes
Room 7
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Power & lights working
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Visual Check - Floor, walls, ceiling & furniture in good condition
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Emergency Lights Working
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Doors Working As Expected
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Radiators Working
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Plumbing Working (Sink, Taps, Toilet seats & Flushing)
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Other Notes
Room 8
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Power & lights working
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Visual Check - Floor, walls, ceiling & furniture in good condition
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Emergency Lights Working
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Doors Working As Expected
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Radiators Working
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Plumbing Working (Sink, Taps, Toilet seats & Flushing)
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Other Notes
Room 9 (Toilets)
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Power & lights working
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Floor & Wall Condition
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Emergency Lights Working
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Doors Working As Expected
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Fan Heaters Working
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Plumbing Working (Sink, Taps, Toilet seats & Flushing)
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Other Notes
Second Floor Corridor
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Fire Safety - Extinguishers in place & fire escapes clear
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Power & lights working
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Carpet & Wall Condition
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Emergency Lights Working
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Doors Working As Expected
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Network Access Points On
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Other Notes
Room 10 (Showers)
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Power & lights working
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Floor & Wall Condition
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Emergency Lights Working
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Doors Working As Expected
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Plumbing Working (Showers Running)
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Other Notes
Room 11
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Power & lights working
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Visual Check - Floor, walls, ceiling & furniture in good condition
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Emergency Lights Working
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Doors Working As Expected
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Radiators Working
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Plumbing Working (Taps Running)
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Other Notes
Room 12
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Power & lights working
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Visual Check - Floor, walls, ceiling & furniture in good condition
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Emergency Lights Working
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Doors Working As Expected
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Radiators Working
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Plumbing Working (Taps Running)
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Other Notes
Room 13
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Power & lights working
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Visual Check - Floor, walls, ceiling & furniture in good condition
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Emergency Lights Working
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Doors Working As Expected
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Radiators Working
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Plumbing Working (Taps Running)
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Other Notes
Room 14
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Power & lights working
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Visual Check - Floor, walls, ceiling & furniture in good condition
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Emergency Lights Working
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Doors Working As Expected
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Radiators Working
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Plumbing Working (Taps Running)
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Other Notes
West Block
Ground Floor Corridor & Stairwell
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Fire Extinguishers in Place
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Fire Escapes & Stairwells Clear
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Power Working
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Floor & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Network Access Points On
Room 1
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Power Working
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Floor & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Furniture & Condition
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Radiators Working
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Plumbing Working (Shower Running)
Room 2
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Power Working
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Floor & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Furniture & Condition
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Radiators Working
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Plumbing Working (Taps Running)
Room 3
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Power Working
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Floor & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Furniture & Condition
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Radiators Working
Room 4 (Toilets & Disabled Toilet)
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Power Working
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Floor & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Fan Heaters Working
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Plumbing Working (Sink, Taps, Disabled Toilet & Toilets Flushing)
First Floor Corridor & Stairwell
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Fire Extinguishers in Place
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Fire Escapes & Stairwells Clear
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Network Access Points On
Room 5
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Furniture & Condition
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Radiators Working
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Plumbing Working (Sink, Shower, Taps & Toilet Flushing)
Room 6
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Furniture & Condition
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Radiators Working
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Plumbing Working (Sink, Shower, Taps & Toilet Flushing)
Room 7 (Showers)
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Power Working
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Floor & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Plumbing Working (Showers Running)
Room 8
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Furniture & Condition
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Radiators Working
Second Floor Corridor
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Fire Extinguishers in Place
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Fire Escapes Clear
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Network Access Points On
Room 9
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Furniture & Condition
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Radiators Working
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Plumbing Working (Taps Running)
Room 10
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Furniture & Condition
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Radiators Working
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Plumbing Working (Taps Running)
Room 11
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Furniture & Condition
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Radiators Working
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Plumbing Working (Taps Running)
Hub 1
Board Room
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Fire Extinguishers in Place
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Fire Escapes Clear
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Furniture & Condition
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Power Working
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Floor & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
Old Cafe
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Plumbing Working (Taps Running)
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Fire Extinguishers in Place
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Fire Escapes Clear
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Furniture & Condition
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Power Working
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Floor & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
Toilets, Disabled Toilet & Corridor
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Power Working
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Floor & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Plumbing Working (Sink, Taps, Disabled Toilet & Toilets Flushing)
Stairwells
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Fire Panel - (Any faults, alarms etc.)
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Fire Extinguishers in Place
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Fire Escapes & Stairwells Clear
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Power Working
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Floor & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Network Access Points On
Top Office
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Fire Extinguishers in Place
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Furniture & Condition
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Fire Escapes Clear
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
Hub 2
Stairwells
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Fire Extinguishers in Place
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Fire Escapes & Stairwells Clear
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Power Working
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Floor, Stairs & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Network Access Points On
Toilets, Disabled Toilet & Corridor
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Power Working
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Floor & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Plumbing Working (Sink, Taps, Disabled Toilet & Toilets Flushing)
Ground Floor Open Plan Office
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Fire Escapes Clear
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Furniture & Condition
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Power Working
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Floor & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
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Network Access Points On
Office 1
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Furniture & Condition
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Power Working
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Floor & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
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Network Access Points On
Office 2
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Furniture & Condition
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Power Working
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Floor & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
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Network Access Points On
Office 3
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Furniture & Condition
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Power Working
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Floor & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
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Network Access Points On
Office 4
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Furniture & Condition
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Power Working
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Floor & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
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Network Access Points On
First Floor Open Plan Office
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Fire Extinguishers in Place
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Fire Escapes Clear
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Furniture & Condition
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
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Network Access Points On
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Plumbing Working (Taps Running)
Office 1
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Furniture & Condition
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
Office 2
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Furniture & Condition
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
Office 3
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Furniture & Condition
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
Office 4
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Furniture & Condition
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
Office 5
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Furniture & Condition
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
Office 6
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Furniture & Condition
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
Office 7
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Furniture & Condition
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
Office 8
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Furniture & Condition
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
Office 9
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Furniture & Condition
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
Office 10
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Furniture & Condition
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Power Working
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Carpet & Wall Condition
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Emergency Lights Working
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Lights Working
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Doors Working As Expected
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Radiators Working
Canteen & Kitchen
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Fire Extinguishers In Place
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Fire Escapes Clear
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Floor & Wall Condition
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Grease Trap Empty
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Plumbing Working (Taps Running, Sinks Clear)
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Extract and Supply Fans Working
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Bins Emptied
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Power Working
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Furniture & Condition
Site Exterior
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Is all waste clear from fire exits/fire routes
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No smoking signs in place
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Designated smoking area is clear and signed
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Outdoor emergency lights working
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Assembly point clearly marked on Workshop A
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Flood lights working
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Generator working
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Bin store tidy
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Fencing in place
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All drains checked and cleared