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Station Inspection Form
Station Inspection Form
Date
MM slash DD slash YYYY
Station
Supervisor
Cariota
Adam
Jackson
Parks
Webb
Puerto
Kirkdorffer
Crutchfield
Pagel
Guillote
Tuttoilmondo
Other
Shift
A
B
C
D
Other/Event
In-Charge
Attendant
Third
Kitchen (Refrigerator/Cabinets/Microwave/Counters)
Quantity
Price:
$0.01
Quantity
Restroom (Toilet/Urinal/Sink/Shower)
Quantity
Price:
$0.01
Quantity
Floors (Swept and Mopped)
Quantity
Price:
$0.01
Quantity
Laundry (Laundry Complete/ Laundry area clean and organized)
Quantity
Price:
$0.01
Quantity
Trash (all trashcans indoor and outdoor/cigarette receptacles)
Quantity
Price:
$0.01
Quantity
Windows and furniture (blinds/dusting)
Quantity
Price:
$0.01
Quantity
Dorm Rooms (clean and tidy)
Quantity
Price:
$0.01
Quantity
Compliance (No visible PHI/no immediate safety issues)
Quantity
Price:
$0.01
Quantity
Other areas ( common area/lobby/bays)
Quantity
Price:
$0.01
Quantity
Daily Chores ( completed/in progress)
Quantity
Price:
$0.01
Quantity
Total
$0.00
Notes
In-Charge Email
*
Attendant Email
Supervisor Email
*
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