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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Check all lockers and send the report to OM and DM's
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Date
Male changing room
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Lockers fully functioning? Report locker number and the issue
Numbers of faulty lockers
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Name and signature
Female changing room
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Lockers fully functioning? Report locker number and the issue
Numbers of faulty lockers
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Name and signature