Title Page
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Customer Name & Location
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Site Checked On:
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Site Checked By:
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WALL MIXER: Is a chemical wall mixer installed, connected and working?
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TIPPETS: Are Chemical Wall Mixer Tippets installed and appropriate for chemicals and application?
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Wall Mixer - INTERNAL Photo - Show Tippets installed (If NO Mixer, just add photo of valeting bay)
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SECURITY: Is the wall mixer front cover secured to the main body of the mixer?
- Yes - with screws
- Yes - with Autosmart cable ties
- Yes - with unbranded cable ties
- No - not secured
- No Mixer - Not Applicable
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Wall Mixer Photo including any security - Show within valeting area, not just photo of the mixer (If NO Mixer - just add photo of valeting bay)
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BARREL SECURITY: Are barrel bungs secured with cable ties or padlocks?
- Yes - with Autosmart cable ties
- Yes - with unbranded cable ties
- Yes - with padlock
- No - Unsecure
- Not Applicable - See comments
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Barrel photo to show secured bungs
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WALL CHART: Is our H&S Wall Chart / Cleaning Guide on site?
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Wall Chart Photo (Show within valeting area)
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ACUSET: Is an acuset restrictor fitted on barrel feed?
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Does this site have a Vortex / Tornador ?
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Does this site have a Smart Tool?
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LABELS & SLEEVES: Are chemical Minijet / Polish Bottle LABELS & SLEEVES in place?
- Yes
- No
- Not all bottles
- Advised Site Management to order replacement labels/sleeves
- N/A
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PRINTED BOTTLES: Does this site have all printed bottles?
- Yes
- No
- Not all bottles
- Advised Site Management to order replacement labels/sleeves
- N/A
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Labeled / Printed Bottles Photo (Group Bottles and show within valeting area)
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General Photos If Required
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ACTIONS TAKEN during this site visit:
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RECOMMENDATIONS made to the site manager:
