Title Page
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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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Personnel
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Equipment/RLCC tag number (please check 1)
- Versametic plus - tag# 001289
- Lindhaus - Tag #001318
- Lindhaus - Tag #001319
- Lindhaus - Tag #001321
- Nobles (big green) - Tag #001330
- Nobles (big green) - Tag #001331
- Advanced - Tag #007928
- Versametic - tag #007930
- Sensor 12" - Tag #007901
- Sensor 12" - Tag #007903
- Sensor 12" - Tag #007904
- Sensor 12" - Tag #007906
- Sensor 12" - Tag #007908
- Sensor 15" - Tag #007902
- Sensor 15" - Tag #007909
- Other
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Name of User
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Date/Time Out
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Date/Time In
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Housing
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Cord
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Bags
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Filters
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Operational challenges (List any challenges that occur while using this vacuum cleaner)
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