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Cleaning and disinfection report

Site details (Name, Location, Trade License …. etc.)

Service request receipt date and time

Response date and time

Disinfection process start and end time

Disinfected facilities onsite

Total manpower involved

Materials used for disinfection

Total hazardous waste generated (Amount in Kg)

Hazardous waste disposal (Method, Date and Time, Site,


Transporter … etc.)
Precautionary measures for (Manpower involved, Residents onsite
…. etc.)

Standard adopted for disinfection process

Description of the disinfection process


Cleaning and disinfection report

Photos as evidence Photos as evidence

Photos as evidence Photos as evidence


Cleaning and disinfection report

Photos as evidence Photos as evidence

Photos as evidence Photos as evidence


Cleaning and disinfection report

Photos as evidence Photos as evidence

Photos as evidence Photos as evidence


Cleaning and disinfection report

Photos as evidence Photos as evidence

Photos as evidence Photos as evidence

Company Name: ………………………………………… License Number:


……………………………………..
Manager Signature: ………………………….….….… Company Stamp:
……………………………………

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