Title Page
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Berwick
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Conducted on
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Prepared by
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Personnel
Lounge
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Light bulb working?
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Are the doorways clear?
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Is the clothes drier secure and rope in good condition?
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No sign of damage on the Fire Place?
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Firewood away from outside of door and away from fire?
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Hazard list current and visible?
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Any other comments make?
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Sliding door working ok?
Dining Room
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Light bulb working?
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Hazard list current and visible?
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Is the floor in good repair?
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Are the Tables and Bench seat structurally sound?
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Any other comments make?
Kitchen
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Light bulb working?
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Hot water maker working ok?
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Toaster working ok?
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Hot taps identified?
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Plugs for sinks?
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Washing machine in good working order?
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Master key in correct place?
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Any Kitchen dishes or utensils required?
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Hazard list current and visible?
Residential Range
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Top elements working?
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Oven working?
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Grill working?
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Outlet plugs working?
Commercial Range
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Top elements working?
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Oven working?
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Are there spare light bulbs available?
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Any other comments to make?
Pantry
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Window latches in good condition?
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Electrical Plugs in good condition?
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Light bulb working?
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Hot taps identified?
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Plugs for sinks?
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EFTPOS Plugged in and working?
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Freezing workin?
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Fridge working?
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Hazard list current and visible?
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Any other comments make?
Covered Deck
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Is the doorway clear?
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Is the BBQ clean and in working condition?
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Are the Gas bottles filled?
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Is the decking timber solid?
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Any other comments make?
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Is the roofing in good condition?
Laundary
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Electrical Plugs in good condition?
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Plugs for sinks?
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Hot taps identified?
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Plenty of Mops, Buckets etc?
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Hazard list current and visible?
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Any other comments make?
Sick Bay
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Light bulb working?
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Hazard list current and visible?
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Any other comments to make?
Rawahai
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Heater guard safe?
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Bunks secure to the wall?
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Bed slats all there and secure?
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Correct number of pillows and mattress's?
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Light bulb working?
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Hazard list current and visible?
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Any other comments to make?
Kowhai
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Heater guard safe?
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Bunks secure to the wall?
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Bed slats all there and secure?
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Correct number of pillows and mattress's?
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Light bulb working?
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Hazard list current and visible?
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Any other comments to make?
Rata
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Heater guard safe?
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Bunks secure to the wall?
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Bed slats all there and secure?
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Correct number of pillows and mattress's?
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Light bulb working?
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Hazard list current and visible?
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Any other comments to make?
Pohutakawa
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Heater guard safe?
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Bunks secure to the wall?
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Bed slats all there and secure?
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Correct number of pillows and mattress's?
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Light bulb working?
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Hazard list current and visible?
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Any other comments to make?
Drying Room
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Light bulb working?
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Hazard list current and visible?
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Is the Drier working correctly?
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Any other comments to make?
Female Toilets
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Window latches in good condition?
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Hazard list current and visible?
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Door Hardware in working condition?
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Light bulb working?
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Electrical Plugs in good condition?
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Toilets in Working Condition?
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Showers in Working Condition?
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Basin Taps Working and Labelled HOT / COLD Plug in place?
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Any other comments to make?
Kohikotea
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Heater guard safe?
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Bunks secure to the wall?
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Bed slats all there and secure?
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Correct number of pillows and mattress's?
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Light bulb working?
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Hazard list current and visible?
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Any other comments to make?
Lions Den
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Heater guard safe?
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Bunks secure to the wall?
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Bed slats all there and secure?
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Correct number of pillows and mattress's?
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Light bulb working?
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Hazard list current and visible?
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Any other comments make?
Male Toilets
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Window latches in good condition?
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Hazard list current and visible?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Toilets in Working Condition?
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Showers in Working Condition?
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Basin Taps Working and Labelled HOT / COLD Plug in place?
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Light bulb working?
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Any other comments to make?
Gym
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Light guards in place?
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Light bulb working?
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Basketball hoops in good condition?
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Climbing wall fixtures all secure?
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Any other comments make?
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Hazard list current and visible?
Rimu
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Heater guard safe?
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Bunks secure to the wall?
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Bed slats all there and secure?
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Correct number of pillows and mattress's?
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Light bulb working?
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Hazard list current and visible?
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Any other comments make?
Totara
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Heater guard safe?
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Bunks secure to the wall?
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Bed slats all there and secure?
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Correct number of pillows and mattress's?
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Light bulb working?
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Hazard list current and visible?
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Any other comments make?
Matai
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Heater guard safe?
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Bunks secure to the wall?
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Bed slats all there and secure?
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Correct number of pillows and mattress's?
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Light bulb working?
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Hazard list current and visible?
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Any other comments to make?
Kauri
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Heater guard safe?
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Bunks secure to the wall?
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Bed slats all there and secure?
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Correct number of pillows and mattress's?
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Light bulb working?
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Hazard list current and visible?
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Any other comments to make?
Miro
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Heater guard safe?
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Bunks secure to the wall?
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Bed slats all there and secure?
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Correct number of pillows and mattress's?
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Light bulb working?
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Hazard list current and visible?
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Any other comments make?
Unnamed Room
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Heater guard safe?
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Bunks secure to the wall?
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Bed slats all there and secure?
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Correct number of pillows and mattress's?
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Light bulb working?
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Hazard list current and visible?
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Window latches in good condition?
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Any other comments to make?
Sauna
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Window latches in good condition?
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Door Hardware in working condition?
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Light bulb working?
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Electrical Plugs in good condition?
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Sauna Electrics Visibly OK?
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Toilet in Working Condition?
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Shower in Working Condition?
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Shower Curtain in Place?<br>
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Basin Taps Working and Labelled HOT / COLD Plug in place?
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Hazard list current and visible?
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Any other comments make?
Workshop
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Light bulb working?
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Electrical Plugs in good condition?
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Door Hardware in working condition?
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Hazard list current and visible?
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Any other comments make?
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Items that need purchased or replaced?
Outside
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Any other comments make?
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Drain clear at bottom of slip?
Garage
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Light bulb working?
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Hazard list current and visible?
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Any other comments make?
Garage Bedroom
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Window latches in good condition?
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Door Hardware in working condition?
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Electrical Plugs in good condition?
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Correct number of pillows and mattress's?
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Light bulb working?
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Hazard list current and visible?
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Any other comments make?