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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General Inspection
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Overall Appearance
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Good
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Fair
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Poor
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- Evidence of moisture
- Irregular surface
- Handicapped hazards
- Visible settlement
- Tripping hazards
- Replacement necessary -
Carpet (Tufted, tile)
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Age
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Stains
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Holes, tears
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Excessive wear
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Discoloration
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Seam conditions
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Resilient (Asphalt tile, cork tile, linoleum, rubber, vinyl)
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Broken tiles
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Shrinkage
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Fading
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Porosity
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Loose tiles
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Lifting, cupping
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Cuts, holes
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Asbestos present
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Masonry (Stone, brick)
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Cracks
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Joints
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Porosity
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Deterioration
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Stains
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Sealing
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Monolithic Topping (Concrete, granolithic, terrazzo, magnesite)
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Cracks
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Joints
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Porosity
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Sealing
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Wood (Plank, strips, block, parquet)
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Shrinkage
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Excessive wear
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Decay
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Cupping, warpage
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Unevenness
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Sealing