Title Page
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Site conducted
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Store Name
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Store Number
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Conducted on
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Prepared by
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Location
Customer Toilets
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Please confirm and take photos showing there are none of the below Initial items on site.
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Soap dispensers
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Photo of soap dispensers
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Toilet roll dispensers
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Photo of toilet roll dispensers
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Air fresheners
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Photo of air fresheners
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Sanitary bins
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Photo of sanitary bins
Kitchen
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Please confirm and take photos showing there are none of the below Initial items on site.
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Kitchen - paper towel dispensers
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Photo of paper towel dispensers
Staff Toilets
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Please confirm and take photos showing there are none of the below Initial items on site.
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Soap dispensers
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Photo of soap dispensers
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Toilet roll dispensers
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Photo of toilet roll dispensers
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Air fresheners
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Photo of air fresheners
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Sanitary bins
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Photo of sanitary bins
Sign off
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Area Manager Signature