Anonymous

Weekly Safety Survey District 4B-1

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Title Page

Site #
Site Name
Weekending
Surveyor Name

Site Survey

Exterior Building Mounted Lighting - Yes, No or some, If some how many lights out?
How many Lights out?
Exterior Parking Lot Pole Lights - Working Yes, No or Some. If Some How Many lights out?
How Many Lights out?
Pole Sign - Completely Lit or Partial
Monument Sign - Completely Lit or Partial
Building Signs - Completely Lit or Partial
Lobby /Address Signs - Completely Lit or Partial
Security Camera - System working?
Fire panel & Dialer - Clear of all troubles?
Entrance door locks - Working Order?
Cash Drawer Locked - Cash counted and verified?
Winterization Checklist - Complete and being followed during winter months

Anonymous

Weekly Safety Survey District 4B-1

Use this Template

Print as PDF

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