Title Page
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CONVENTION
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CONVENTION DATE
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FACILITY
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LOCATION
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INSPECTION DATE
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CONTRACT NEGOTIATOR
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INSPECTION MADE BY
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DAMAGE FOUND BEFORE THE START OF INSTALLATION WORK
DAMAGE
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OBSERVATION
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AREA
- AUDITORIUM
- BATHROOM
- HALLWAY
- LOBBY
- LOADING DOCK
- MEETING ROOM
- LOUNGE
- MECHANIC ROOM
- OFFICE
- OUTSIDE LOBBY
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FLOOR
- 1st
- 2nd
- 3rd
- 4th
- 5th
- BASEMENT
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ROOM or SECTION
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OBSERVATION DESCRIPTION
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RISK LEVEL
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PICTURE
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DRAWING
CLOSING
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ADDITIONAL COMMENTS
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ARE ALL THE AREAS OF FACILITY INSPECTED?
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WAS THE FINDINGS COMMUNICATED TO THE CONTRACT NEGOTIATOR ?
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SIGNATURE
