5 O.K. LOCATION:___________________________________
5 NEED REPAIR (INSERT NAME,AREA,ETC)
7 REPAIR COMPLETE QUARTER:_____________________________________
DATE AND INITIALS WEEK DATE AND INITIALS
NUMBERS
UTILIZE A NEW SHEET QUARTERLY
9.ASHCANS-appearance,repair,clean. 53
10..LAMP SWITCHES-operation,damage,color coordinated, 54
dimmers where required.
11.LAMP SOCKETS-tight, functional 55
12.LAMP SHADES-appearance,repair,clean,color coordinated.. 56
13.BULBS-replace as necessary.... 57
14.PLUGS/WIRES-replace as necessary,repair, not under 58
ruggs, no long extension cords in use.
15.EMERGENCY LIGHTING-check operation, test charging 59
unit.
LAM SWITOUT
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