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
Building Perimeter
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Building Exterior condition
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Entrance doors close tightly
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Windows seal tightly; screens (if used) are in good condition
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Exterior water spigots not dripping or leaking
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Walls/roof line free of holes and cracks
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Vents (supply & exhaust) screened and unobstructed
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Fire assembly area is cleared and fire extinguishers are reachable
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Gutters cleared of debris
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Exterior landscaping properly maintained
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Building free from direct tree hazards
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Fence line clear
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Plants are trimmed properly
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Fire exit doors in good condition?
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locked at night by a good quality locks?
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Other than visitor entrance doors, secured against unauthorized access during the day?
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Windows In good condition?
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Windows secured at night?
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Security patrol system
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Security guards check the ID of persons entering the building/site?
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points and possible breaches
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guards log reports to verify that scheduled checks have been made, and make note of additional information where required?
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Car Park lighting quality
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Floor condition
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Hazards
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CCTV services and monitoring
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Physical working conditions
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Visual working conditions
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Chemical & sanitary items storing
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Floor condition and cleanlisness
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Clean inside washrooms & urinals, Wipe outside washrooms & urinals
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Pick up all trash/ sweep floor/ empty dustbins
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Central AC the working condition
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Inspect ductwork for leaks
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Electrical Hazards
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Observations 01
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Observations 02
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Observations 03
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Observations 04
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Observations 05
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Special comments
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Signature