Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Name of Venue
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Incoming Club
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Outgoing Club
Clubrooms
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Floor and floor covering
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Walls and ceiling
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Door/s
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Door locks and hardware
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Lighting fixtures
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Window/s & screen/s
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Window Coverings
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Smoke Detector
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Showers
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Toilets
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Any removable items that need to be removed
Changing Rooms
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Floors and floor covering
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Walls and ceiling
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Door/s
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Door locks and hardware
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Lighting Fixtures
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Window/s & screen/s
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Window Coverings
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Smoke Detector
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Showers
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Toilets
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Any removable items that need to be removed
Kitchen/Food Handling Areas
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Floor and floor coverings
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Door/s
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Door locks & hardware
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Lighting fixture/s
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Window/s & screen/s
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Sink/Plumbing
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Dishwasher
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Cupboards
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Benchtops
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Any removable items that need to be removed
Other Areas
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Lawns and gardens
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Playing area
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Air-conditioning
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Heating system
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Parking areas
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Playground
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Spectator seating / shelters
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Playing surface lights
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Fencing
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Storage areas
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Officials facilities
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Scoreboard
Maintenance Required
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Outgoing Club maintenance items
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Details
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Incoming Club maintenance items
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Council maintenance items
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Sign off
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Council Representative - Name
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Council Representative - Signature
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Outgoing Club Representative - Name
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Outgoing Club Representative - Signature
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Incoming Club Representative - Name
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Incoming Club Representative - Signature
