Title Page
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Conducted on
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Scoring By
Scoring
Are trash cans throughout the facility overflowing or need emptied?
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Letter Grade (A B C D F)
Are the work areas free of trash and debris?
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Letter Grade (A B C D F)
Are brooms, mops, dust pans, etc. in their designated places?
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Letter Grade (A B C D F)
Are exit doors free and clear of obstructions?
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Letter Grade (A B C D F)
Are the floors free of slips and/or trip hazards?
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Letter Grade (A B C D F)
Are the restrooms neat and tidy?
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Letter Grade (A B C D F)
Are there machine leaks which need to be cleaned up?
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Letter Grade (A B C D F)