AB Building & Electrical Ltd Smoke Alarm & PAT Testing Audits 2017

• Client:

  Select Wythenshawe Community Housing Group Stockport Homes West Lancs Salix Homes Riverside Vivark

  • Wythenshawe Community Housing Group
  • Stockport Homes
  • West Lancs
  • Salix Homes
  • Riverside
  • Vivark

• Conducted on

  Date

• Audit prepared by

  Select Matthew Wych Brett Shackleton Craig Dunn Lee Makin Mike McCormick Jon Jakeman Jack Roche Lee Mather

  • Matthew Wych
  • Brett Shackleton
  • Craig Dunn
  • Lee Makin
  • Mike McCormick
  • Jon Jakeman
  • Jack Roche
  • Lee Mather

Part 1: Tenant address & details

• Tenants name:

• Tenants address:
  Address

• Tenants contact details:

• Property type:

  Select Flat 1 Bed Flat 2 Bed Flat 3 Bed Bungalow Semi-detached house Detached house Terraced house

  • Flat 1 Bed
  • Flat 2 Bed
  • Flat 3 Bed
  • Bungalow
  • Semi-detached house
  • Detached house
  • Terraced house

Part 2: Smoke detection:

• Location of current smoke detector:

  Select Hallway Lounge Kitchen Bedroom 1 Bedroom 2 Utility

  • Hallway
  • Lounge
  • Kitchen
  • Bedroom 1
  • Bedroom 2
  • Utility

• Make of smoke detector:

• Model of smoke detector:

• Serial number:

• Does the existing smoke detector need replacing?

  Yes

  No

• Picture of existing smoke detector

  Media

• Expiry date of existing smoke detector

• Picture of new smoke detector fitted

  Media

• Expiry date of new smoke detector

Part 3: PAT Testing

• Is PAT testing of White Goods required?

  Yes

  No

Tenants PAT testing disclaimer: I confirm in signing this disclaimer below, that I have requested all my kitchen white goods to be PAT tested. I have been made aware and fully understand, that any electrical items failing to meet the electrical safety test will result in my electrical appliance being disconnected.

• Tenants signature:

  Sign

Part 4: PAT testing refusal

• I confirm in clicking this check box, that I am refusing to have my white goods PAT tested. I understand the importance of having my White Goods PAT tested. I am fully aware my housing association will be notified of my refusal today.

• Signature of refusal

  Sign

Part 5: Chip Pan

• Is there an oil-filled Chip Pan inside the property?

  Yes

  No

• Picture of chip pan:

  Media

Tenants chip-pan disclaimer: I confirm in signing this disclaimer below, that I have requested for my current oil-filled chip pan to be removed and exchanged free of charge, for a new oil-free chip pan. I am aware the new oil-free chip pan will be provided by my housing association, within 7-10 days of this inspection.

• Tenants signature:

  Sign

Electricians details;

• Electricians signature:

  Sign