Title Page
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Site conducted
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Rhode Island SOP 6-5b: Monthly Glass and Brittle Plastic Registry
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Date Inspected
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Inspected by
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Location
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Once per month the Production Manager or QA Coordinator should inspect each area and sign off the 'Glass & Brittle Plastic Registry' to ensure no area has broken glass or brittle plastic. Use a tick "✓" if the item is in good condition. Any breakages that occur must be recorded below using a cross "☓" along with the corrective action taken.
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Describe non-conformance and corrective actions (Describe non-conformance and immediate corrective actions performed by clicking "Notes". Take a photo of the non-conformance by clicking "Image" . For any outstanding corrective actions (ie. those that require third-party contractor or maintenance service) create a corrective action to be performed under "Action" and assign the corrective action to the appropriate person with a target completion date.)
A. Office
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Windows (Quantity: 2)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Double Fluorescent Ceiling Light Bulbs and Light Covers (Quantity: 6)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Computers (Quantity: 5)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Clock (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Fire Alarm Cover and Bulb (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Trash Bin (Quantity: 7)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Lamp Cover and Bulb (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
B. Office Restroom
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Double Fluorescent Ceiling Light Bulbs and Light Covers (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Mirror (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Hand-Washing Station (Soap, Paper Towel, Toilet Paper, Sanitizer Dispenser) (Quantity: 4)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Fire Alarm Cover and Bulb (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Trash Bin (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
C. Entrance / Corridor Outside Offices
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Doors (Quantity: 2)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Windows (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Double Fluorescent Ceiling Light Bulbs and Light Covers (Quantity: 6)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Time Clock (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Hairnet / Shoe Cover Dispenser (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Fire Alarm Cover and Bulb (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Trash Bin (Quantity: 2)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Exit Signs (Quantity: 2) and Exit Lights (Quantity: 4)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Refrigerator (Quantity: 2)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
D. Locker Room
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Double Fluorescent Ceiling Light Bulbs and/ Light Covers (Quantity: 2)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Hairnet / Shoe Cover Dispenser (Quantity: 2)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Trash Bin (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
E. Lunch Room
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Windows (Quantity: 2)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Double Fluorescent Light Bulbs and Light Covers (Quantity: 6)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Clock (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Paper Towel Dispenser (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Trash Bin (Quantity: 3)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Microwaves (Quantity: 4)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Toaster Oven (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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UV Pest Control Lights (Quantity: 2)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Vending Machines (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Thermostat Cover (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
F. Men's Restroom
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Door (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Double Fluorescent Ceiling Light Bulbs and Light Covers (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Mirror (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Hand Washing Station (Soap, Paper Towel, Toilet Paper, Sanitizer Dispenser) (Quantity: 4)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Fire Alarm Cover and Bulb (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Trash Bin (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
G. Women's Restroom
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Door (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Double Fluorescent Ceiling Light Bulbs and Light Covers (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Mirror (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Hand Washing Station (Soap, Paper Towel, Toilet Paper, Sanitizer Dispenser) (Quantity: 4)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Fire Alarm Cover and Bulb (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Trash Bin (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
H. Cleaning Closet
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Windows (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Double Fluorescent Ceiling Light Bulbs (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Temperature Sensor Feed Box Screens (Quantity: 7)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
I. Maintenance Room
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Windows (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
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Double Fluorescent Ceiling Light Bulbs and Light Covers (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
-
Take a photo of the work order and/or invoice from completed service
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Fire Alarm Cover and Bulb (Quantity: 1)
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Corrective Action/s
- Removed
- Replaced
- Work Order
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Take a photo of the work order and/or invoice from completed service
Verification
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Inspector Name and Signature
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Reviewed by