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Form Checklist

The document is a checklist for inspecting various areas and items, including a driver toilet, gondola retail space, parking area vehicles, toilet, drive way, and office. The checklist includes over 30 items across different locations to check the condition and document the inspection for cleanliness, functionality, and needed repairs or touch ups. The purpose is to conduct regular inspections and ensure all areas and equipment are in acceptable working condition.

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Wiwin Latifah
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© © All Rights Reserved
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201 views6 pages

Form Checklist

The document is a checklist for inspecting various areas and items, including a driver toilet, gondola retail space, parking area vehicles, toilet, drive way, and office. The checklist includes over 30 items across different locations to check the condition and document the inspection for cleanliness, functionality, and needed repairs or touch ups. The purpose is to conduct regular inspections and ensure all areas and equipment are in acceptable working condition.

Uploaded by

Wiwin Latifah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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DRIVER TOILET CHECK LIST

Date :
CONDITION Check
NO ITEM REMARKS
clean Derty touch up by
1 Entrance Door
2 Ceiling
3 Light
4 AC Grill
5 Wall Ceramic
6 Wall Mirror
7 Wash Basin
8 Water Tap
9 Urinoir
10 Floor Ceramic
11 Floor Drainage
12 Door lock Handle
13 Ceiling
14 Exhaust Fan
15 Toilet Bowl
16 Water Pipe Hose
17 Ablution Area

House keeper Area SPV

( )
GONDOLA RETAIL CHECK LIST
Date :
CONDITION Check
NO ITEM REMARKS
ACCEPTABLE UNACCEPTABLE by
I WEATHER
II AIPHONE (Communication Equipment)
III RAIL
IV SAFETY EQUIPMENT
1 Safety Roof
2 Safety Hardness
3 Safety Rolip (Auto Stop)
4 Hand Glove Leather
5 Safety Helmet
6 Sun Glasses
7 Very Bor
8 Cover Platform
9 Safety Shoes
V MOBIL ROOF
1 Roda penggerak mobil roof
2 Motor penggerak mobil roof
3 Counter weight
4 Panel
5 Maju Mundur Mobil roof
6 Swing Rotator
7 Swing
8 Platform
9 Electric Panel
10 Naikturun Platform
11 Wire Clip
12 Plathform Bumper
13 Roller Bumper

Prepared by, Approved by,


CHECK LIST KENDARAAN PARKIR
Lokasi Jam Kendaraan Kondisi Check
No. No.Polisi Jenis Lampu Kaca Body by Keterangan
dpn blk dpn blk smpg

Approved by Chief parking


TOILET CHECK LIST
Date :
CONDITION
NO ITEM REMARKS
acceptable Unacceptable touch up Chec by
1 DOOR
Door Closer
Metal Door
Door Stopper
2 WALL
Marble Tile
Mirror & Frame
3 Vanity counter
Water Tap
Flower & Vase
Hand Dryer
Urinoir
Deodorizer
Internal Door & Partition
Hanger
Toilet Paper Holder
4 TOILET BOWL
Cover
Toilet Seat Cover
Water Tank
Toilet Bowl
Sanitary Bag Hook
5 CEILING
Light
Exhaust Fan
AC Grill
6 STANDING ASHTRAY
7 DOOR
Wooden Door Cubicle
Wooden Door Panel
Signage
Metal Door
Door Stopper
8 FLOOR
Marble Tile
Drainage

Prepared by, Approved by,


DRIVE WAY CHECK LIST
Date :
CONDITION
NO ITEM Remark
acceptable Unacceptable touch up Chec by
1 Cansten
2 Cover Drainage
3 Box Lamp
4 Light
5 Traffic Sign
6 Traffic Corn
7 Flag Stain
8 Out Let
9 Wall Granite
10 Extinguisher
11 Floor Granite
12 Check Point Canopy

Prepared by, Approved by,


OFFICE CHECK LIST
Date :
CONDITION
NO ITEM REMARKS
acceptable Unacceptable touch up Chec by
1 CEILING
Light
AC Grill
Wooden Ceiling Skirting
Ceiling Grill
2 WALL
Glasses
Wallpaper
Wooden Door Panel
Door Hinges
Out Let
Switch
Door Stopper
Artwork
White Board
Low Partition
Wall Skirting
3 OFFICE FURNITURE & FIXTURE
Desk / Granite Top
Computer
Desk Lamp
Telephone
Desk Plant / Planter
Fax Machine
Ashtray
Chairs
Guest Chair
Cabinet & Rack
Planter Box
Waste Basket
4 FLOOR
Carpet
Marble
Wood
Vinyl

Prepared by, Approved by,

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