Title Page
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Client/Brand
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Store Name
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Mall
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Location
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Conducted on
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Prepared by
HVAC
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Provide images of the HVAC system
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Type (1)
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Producer (1)
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Year (1)
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Type (2)
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Producer (2)
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Year (2)
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Maintenance
Air Curtain
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Provide images of the air curtain system
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Type
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Producer
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Year
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Maintenance
Intruder Alarm
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Provide images of the intruder alarm system
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Type
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Producer
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Year
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Maintenance
EAS Antenas
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Provide images of the EAS Antenas
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Type
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Producer
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Year
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Maintenance
Shutters
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Provide images of the shutter system
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Type
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Producer
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Year
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Maintenance
Access Control
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Provide images of the access control system
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Type
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Producer
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Year
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Maintenance
Fire System - Smoke Head
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Provide images of the Fire System - Smoke Head
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Type
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Producer
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Year
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Maintenance
Fire Sysyem - Alarm Panel
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Provice images of Fire System - Alarm Panel
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Type
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Producer
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Year
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Maintenance
Fire System - Sprinklers
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Provide images of Fire System - Sprinklers
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Type
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Producer
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Year
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Maintenance
Fire System - Fire Extinguishers
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Provide images of Fire System - Fire Extinguishers
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Type
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Producer
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Year
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Maintenance
Fire System - Emergency Lighting
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Provide images of Fire System - Emergency Lighting
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Type
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Producer
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Year
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Maintenance
Fire System - Fire Dampers
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Provide images of Fire System - Fire Dampers
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Type
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Producer
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Year
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Maintenance
CCTV
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CCTV
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Type
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Producer
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Year
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Maintenance
Electrical - Lighting
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Electrical - Lighting
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Type
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Producer
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Year
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Maintenance
Electrical - Testing
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Electrical - Testing
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Fixed Wire
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PAT
Electrical - Boiler Test
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Electrical - Boiler Test
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Type
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Producer
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Year
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Maintenance
Furniture - Sales Area
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Furniture - Sales Area
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Type
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Producer
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Year
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Maintenance
Furniture - BOH/Rolling Racks
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Furniture - BOH/Rolling Racks
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Type
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Producer
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Year
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Maintenance
Store Specifics - Automatic Doors
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Store Specifics - Automatic Doors
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Type
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Producer
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Year
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Maintenance
Store Specifics - Lifts/Escalators
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Store Specifics - Lifts/Escalators
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Type
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Producer
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Year
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Maintenance
Store Specifics - Pest Control
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Store Specifics - Pest Control
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Type
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Producer
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Year
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Maintenance
Store Specifics - Various (Y/N)
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Store Specifics - Various (Y/N)
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Panic Bar
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Day Alarm
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Evacuation Plan
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Last Man Switch
Declaration
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Any further observations or comments relating to concerns on site
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Auditor Signature
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Select date