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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Site Address
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Date of survey
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Name of inspector
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CCTV present
- YES
- NO
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Approximate age of CCTV
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Pic of CCTV
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CCTV comments
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Lightning conduction present
- YES
- NO
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Approximate age of lightning conduction
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Pic of lightning conduction
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Lightning conduction comments
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Passenger lifts on site
- YES
- NO
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Number of passenger lifts on site
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Approximate age of passenger lifts
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Pic of passenger lift(s)
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Passenger lifts comments
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Stairlifts on site
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Number of stairlifts on site
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Approximate age of stairlifts on site
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Pic of stairlift(s)
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Stairlifts comments
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Bin chutes on site
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Number of bin chutes present
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Do the bin chutes have dampeners
- YES
- NO
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Do the bin chutes need to be serviced
- YES
- NO
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General condition of bin chutes
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Pic of bin chutes
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Bin and store doors on site
- YES
- NO
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Number of bin and store doors on site
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Material of bin and store doors
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General condition of bin and store doors
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Pic of bin and store doors
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Laundry room on site
- YES
- NO
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Number and type of appliances
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General condition of appliances
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Pic of laundry room and appliances
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Mobility scooter storage on site
- YES
- NO
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Condition of scooter storage
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Pic of scooter storage
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Signature of inspector
