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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Building:
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Inspector:
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Room #:
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Date:
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Ratings
Rate each item below yes or no based on whether or not it's condition meets the standards. For items that are not applicable for a particular are, leave that rating blank. -
Entry Door
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Comments
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Door Hardware
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Comments
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Windows
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Comments
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Walk-off Matting
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Comments
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Flooring
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Comments
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Furniture/Seating
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Comments
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Lighting
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Comments
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Wall Decorations/Pictures
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Comments
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Waste Receptacles
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Comments
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Telephones
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Comments
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Interior Doors
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Comments
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Total Yes
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Total No
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Score:
(Yes Rating Total✖️100)➗(Yes Rating Total➕No Rating Total) = Score (%) -
Score =