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| Measure Terms - Definition |
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ACCOUNT: Your Company Name Here |
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| 1. HIGHLY VISIBLE- NEGATIVELY AFFECTS CLIENT |
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| 2.
VISIBLE - DEFECT OBVIOUS TO CASUAL OBSERVER |
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Location: |
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| 3.
VISIBLE/INSPECTION- DEFECT IF CLOSELY INSPECTED |
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| 4. NOT
VISIBLE - NO DEFECTS UPON CLOSE INSPECTION |
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DATE: |
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YES |
NO |
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| INSPECTED BY: |
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SAFETY EQUIP. IN USE |
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SAFETY
PROCEDURES IN USE |
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UNIFORMS/I.D.
BADGES WORN |
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EQUIP. CLEAN/WORKING |
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| BUILDING, FLOOR, AREA: |
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| CATEGORIES |
Score |
Point Value |
Total |
Max Total |
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| LOBBIES,
CORRIDORS, ATRIUMS, PATIOS, CTO |
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| DOORS/GLASS |
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5 |
0 |
20 |
Comments: |
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| ENTRANCE
EXTERIOR |
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5 |
0 |
20 |
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| FLOORS |
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4 |
0 |
16 |
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| FURNITURE |
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4 |
0 |
16 |
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| RECEPTACLES/FOUNTAINS |
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4 |
0 |
16 |
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| HIGH DUSTING |
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3 |
0 |
12 |
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| VENETIAN
BLINDS |
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3 |
0 |
12 |
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| JANITORS
CLOSETS |
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1 |
0 |
4 |
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| ENCLOSED OFFICES, CONFERENCE
ROOMS |
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| DESK TOPS |
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4 |
0 |
16 |
Comments: |
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| FLOORS |
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5 |
0 |
20 |
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| LOW DUSTING |
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5 |
0 |
20 |
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| INTERIOR
WINDOWS |
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4 |
0 |
16 |
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| WINDOW SILLS |
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4 |
0 |
16 |
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| CEILINGS -
HIGH DUSTING/VENTS |
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3 |
0 |
12 |
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| CHAIRS |
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3 |
0 |
12 |
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| MINI BLINDS |
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3 |
0 |
12 |
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| PARTITIONS/WALLS |
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3 |
0 |
12 |
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| TRASH/RECYCLE
RECEPTACLES |
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4 |
0 |
16 |
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| CUBICLES, OPEN
OFFICES |
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| DESK TOPS |
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4 |
0 |
16 |
Comments: |
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| FLOORS |
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5 |
0 |
20 |
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| LOW DUSTING |
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5 |
0 |
20 |
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| INTERIOR
WINDOWS |
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4 |
0 |
16 |
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| WINDOW SILLS |
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4 |
0 |
16 |
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| CEILINGS -
HIGH DUSTING/VENTS |
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3 |
0 |
12 |
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| CHAIRS |
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3 |
0 |
12 |
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| MINI BLINDS |
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3 |
0 |
12 |
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| PARTITIONS/WALLS |
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3 |
0 |
12 |
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| TRASH/RECYCLE RECEPTACLES |
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4 |
0 |
16 |
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| RESTROOMS |
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| COUNTERS/SINKS |
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5 |
0 |
20 |
Comments: |
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| DISPENSERS |
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5 |
0 |
20 |
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| FLOORS |
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5 |
0 |
20 |
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| MIRRORS |
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5 |
0 |
20 |
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| TOILETS/URINALS |
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5 |
0 |
20 |
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| HIGH
DUSTING/VENTS |
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3 |
0 |
12 |
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| PARTITIONS/WALLS |
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4 |
0 |
16 |
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| TRASH/RECYCLE
RECEPTACLES |
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4 |
0 |
16 |
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| ELEVATORS,
STAIRS, TUNNEL |
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| DOORS/WALLS |
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4 |
0 |
16 |
Comments: |
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| FLOORS/TRACKS |
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4 |
0 |
16 |
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| KITCHENS,
VENDING AREAS, DINING ROOM |
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| COUNTER/SINKS |
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5 |
0 |
20 |
Comments: |
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| FLOORS |
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4 |
0 |
16 |
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| TABLES/CHAIRS |
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5 |
0 |
20 |
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| APPLIANCES/MACHINES |
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4 |
0 |
16 |
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| WALLS |
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4 |
0 |
16 |
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| CEILINGS -
HIGH DUSTING/VENTS |
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3 |
0 |
12 |
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| TRASH/RECYCLE
RECEPTACLES |
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4 |
0 |
16 |
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| TOTALS |
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0 |
712 |
QUALITY RATING |
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0.00% |
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PERCENT SCORE |
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| SCORING |
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| 95 - 100% - Excellent |
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| 90 - 94.9% - Very Good |
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| 85 - 89.9% - Good |
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| 80 - 84.9% - Acceptable |
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| 79.9% or less - Unacceptable |
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