Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Dishwasher dispenser currently in place?
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Dishwasher model
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Space to install?
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Chemical to be hooked up
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Comments
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Is dispensing in place for dishwashing liquid?
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Space to install sink pump
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Chemical to be hooked up
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Comments
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Is dispensing in place for in use chemicals?
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Space to install
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Water connection
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Chemical to be hooked up
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Comments
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Is dispensing in place for Soap dispensers?
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Is dispensing in place for hand towel?
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Is dispensing in place for toilet paper?
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Current dispensing and compliance photos
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Are chemical wall charts in place?
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Product list for wall chart
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SDS folder required?
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Product list for safety data sheets
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Are printed bottles in place?
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Product list for printed bottles with count
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Account set up?
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Is online ordering required?
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Free on load agreement for dispensing required?
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Critical OH&S risks observed
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Steps for improvement
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Additional comments
