Title Page
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Building Name
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Buildings - Refer to Safety reports, Asbestos report, Standards, Codes of practice, WHS Act
Building
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Name
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Asset Number of Building
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External areas - Visible damage
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Doors - Visible damage
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Walls - Visible damage
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Windows - Visible damage<br>
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Roof & ceiling - Visible damage
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Ergonomics - Visible damage
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Electrical - Exposed wires, Test & Tag (done & within date), Double Adapters, Visible damage
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Lighting - Visible damage
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Wet Areas - Visible damage / leaks
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Chemicals - Visible damage. Bunding, Safety Data Sheets
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General plumbing - Visible damage
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Kitchen - Visible damage
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First Aid - kit present, contents intact, signage
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Emergency Evacuation - Evacuation plan up to date, Emergency doors compliant
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Emergency lighting - Visible damage, compliant with Aus Standards
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Fire extinguishers - Inspection Tags date compliant
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Inspector's Signature