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ENVIRONMENT, HEALTH & SAFETY (EHS)

Disinfection and Cleaning


ISO9001:2000 ISO14001:1996 OHSAS18001:1999
Cert No: CI/10121 063 Cert No: CI/10121 063 Cert No: CI/10121

Company: MDC ( ) Cleaning Done


Month: September 2020 ( ) Failure to Clean
Specific Location: EHS Office

ACTIVITY RECORD CHECKSHEET

D Sink / Toilet Change Floor Wipe the


Chairs and Walls and Door knobs Beds Frames / Trash Bins

y:
db
A Bowl / Mats / Foot Computer and
Tables Floors and Handles Foams Collected

ct e
T Drainage Bath Keyboard

du
n
E

Co
am pm am pm am pm am pm am pm am pm am pm am pm
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Noted by:

EHS Personnel

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