Information
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Client / Site
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Date and Time of Inspection
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Inspected by
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Location
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Score Weighting Criteria
100% = Good - Meets all service specification standards to a high standard
80% = Acceptable - Meets service specification standards with minor improvements required
60% = Poor - Major improvements required to meet service specification standards
A. Entrance / Floors
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Entrance and Foyer
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Carpeted Floor Surfaces
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Corners / Edges
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Hard Floor Surfaces
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Under Furniture
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Stairs
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Exit or Fire Stairs
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Maintenance Issues
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Rubbish Bins / Liners
B. Rubbish / Dusting
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Desks
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Dusting (under 2 metres)
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Dusting (over 2 metres)
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Maintenance Issues
C. Spot Cleaning
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Doors
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Walls
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Light Switches
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Partition Glass
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Maintenance Issues
D. Kitchens
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Walls, Doors, Glass
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Fridge Cleaning
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Bins, Rubbish Removal
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Sinks, Bench Tops, Tiles
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Appliances, Table Tops
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Maintenance Issues
E. External
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Car park & Grounds
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External Surrounds
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Exterior Signs
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Glass - Internal & External
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Maintenance Issues
F. Female Toilets
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Floors
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Walls / Partitions / Doors
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Mirrors
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Hand Basins
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Toilet Pans / Cisterns
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Consumables
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Showers
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Lockers
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Maintenance Issues
G. Male Toilets
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Floors
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Walls / Partitions / Doors
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Mirrors
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Hand Basins
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Toilet Pans / Cisterns
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Consumables
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Showers
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Lockers
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Maintenance Issues
H. Other
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Comments (If any)
SHEQ (Not Part of QA Rating)
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Site Manual Up To Date
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Communication Sheets Onsite
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All Safety Data Sheets Available & Current
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Work Method Statement(s) Available
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Uniforms Being Worn
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Expiry Date of Electrical Test and Tag Equipment
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Electrical Equipment Test & Tag Up To Date
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General Comments
Findings & Corrective Actions Required
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Findings & Actions
QA Inspection Signoff
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Client Representative Name & Signature
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EFS Representative Name & Signature
