Information
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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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Client Representative
Bathrooms
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Removal of Waste
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Hard Floors
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Partition / Cubical Walls
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Mirrors & Dispensers
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Furniture, Fixtures & Fittings
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Replace Consumables
Corridors, Lifts & Stairs
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Removal of Waste
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Soft Floors
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Hard Floors
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Vertical Surfaces
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Mirrors
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Doors & Walls
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Handrails
Kitchen
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Removal of Waste
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Kitchen Units
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Hard Floors
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Vertical Surfaces
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Cooking Implements
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Replace Consumables
Bedroom & Living Area
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Removal of Waste
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Soft Floors
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Hard Floors
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Bed Linen
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Vertical Surfaces
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Furniture, Fixtures & Fittings
Environmental / H&S
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Cleaning Cupboards
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General Equipment
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Health & Safety Documentation
Completed By
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Client Signature
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Cleanall Representative Signature
Corrective Action Request
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Observations Raised
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Details of Non-Conformity
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Proposed Corrective Actions
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Verification of Corrective Action