Josette Bendickson

QCC

Use this Template

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Use this Template

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Title Page

Document No.
Client / Site
Conducted on
Prepared by
Location
Personnel

Bed clean
Picture Frames
Trash cans
Door&door knobs
Handrails
Floor Mat
Light switch
Hand sanitizer&Soap dispenser
Thermostat
Closet handles
Table&Chairs
Bed&TV remote
Toilets
Sinks
Mop floor
Fridge Handles
Mirrors

Josette Bendickson

QCC

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.