Information
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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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Date of Audit
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Branch audited
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Service premise audited
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Name of installer
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Name of service personnel
AF Optimisation - Branch
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LIVE sample of installation docket for fan unit with programming instructions.
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LIVE sample of installation docket for aerosol unit with programming instructions.
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LIVE sample of service cover showing battery exchange service. <br>Signature fan unit = 6 serves x 2 D size GP alkaline batteries<br>Signature single canister unit = 1 serve x 4 AA size GP alkaline batteries
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LIVE sample of service docket showing local fan refill is on 24 serves / MAU pot on 6 serves
AF Optimisation - Field
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Full installation tools for AF is available
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Installation mark is observed on site at head level.
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GP Alkaline batteries are in use.
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Goggles, face mask, cotton gloves and 4 step ladder are in use during installation.
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Installer checks with anemometer that installation position is above 20 lux
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Unit is installed not beyond 7 feet and 1 feet clearance from ceiling, wall and objects.
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As per LIVE sample, fan unit is set to 8 week cycle and on day or night mode as per site conditions.
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As per LIVE sample, aerosol unit is according to programming instructions and clock is accurate.
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Signature actuator is used with Signature single canister unit.
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Fan refill is position closest to the blower
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Goggles, face mask, blue latex gloves and 4 step ladder are in use during service.
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Clock and program is checked during service
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New actuators are used with refill cans during service
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For single canister unit, perform test spray and lock unit.
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For fan unit, turn switch off and on to reset 8 week cycle.
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Air freshener unit is locked.
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Spray OSS disinfectant on to red microfiber cloth and wipe down unit.
Dual Sanitiser Optimisation - Branch
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LIVE sample of installation docket with programming instructions
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LIVE sample of service cover showing battery exchange service<br>4 x C size GP alkaline batteries at 1 serve
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BioSanitiser refill is in use and formulated at 1:20 dilution
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LIVE sample of service cover showing refill exchange is on 12 serves.
Dual Sanitiser Optimisation - Field
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Full installation tools are available
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Goggles, face mask, cotton gloves and 4 step ladder are in use during installation.
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Goggles, face mask and cotton gloves are in use during installation.
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GP Alkaline batteries are in use.
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Installer checks with anemometer that installation position is above 10 lux
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Right angle connector is used
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As per LIVE sample, unit is set on timer mode, interval as per instructions, long dose and day mode.
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Installer primes unit twice on first run and confirms dosage output
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Goggles, face mask and blue latex gloves are in use during service.
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Reservoir is rinsed before fresh 700ml top up during service
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Primes unit twice and check dosage output during service
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Locks the unit
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Spray OSS disinfectant on to blue microfiber cloth and wipe down unit.
Hand Care Optimisation - Branch
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LIVE sample of service cover showing reservoir break cycle on 4 serves.<br>(For liquid and foam only)
Hand Care Optimisation - Field
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Full installation tools are available
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Goggles, face mask and cotton gloves are in use during installation.
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Goggles, face mask and blue latex gloves are in use during service.
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Reservoir is emptied out and rinsed quarterly during service. (For liquid and foam only)
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Test dispensing and lock unit
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Spray OSS disinfectant on to blue microfiber cloth and wipe down unit.
Feminine Hygiene Optimisation - Branch
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LIVE sample of service cover showing battery exchange service<br>4 x AA size GP alkaline batteries at 1 serve.
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For unit exchange service, motor assembly are never put into wash.
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For unit exchange service, battery power are checked before assembly.<br>Replaced when voltage falls below 6 volts.
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For unit exchange service, units are turned on, function tested and turned off.
Feminine Hygiene Optimisation - Field
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Goggles, face mask and latex gloves are in use during installation.
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Goggles, face mask and blue latex gloves are in use during service.
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For OSS, maintain distance of 6 inches and spray OSS disinfectant on surfaces.
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For OSS, use paper towel to wipe down unit making sure modesty flap is wiped last.
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For OSS, units are function tested on every service.
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For OSS, replace batteries if LED is flashing blue and red every 5 seconds.
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For unit exchange service, used units are turned off before removal.
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For unit exchange service, clean units are turned on, placed in position and function tested.
Paper Service Equipment Optimisation - Field
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Spray OSS disinfectant on to blue microfiber cloth and wipe down jumbo roll and paper towel dispensers.
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Date reviewed with Operations Director
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Name of Operations Director
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Name of Auditor
