AFTER HOURS REPORT SHEET

• Conducted on

  Date

• Prepared by

AFTER HOURS REPORT DETAILS:

• Tower Claim number

• Excess.

EVENT:

• Policy cover:

INSURED DETAILS:

• Name

• Street address

• Suburb

• City

• Home phone

• Cell phone

• Other

• Confirmed Personal Details

  Yes

  No

  N/A

INSURED RISK DETAILS:

• Details:

Property Occupancy.

• Tenanted?

  Yes

  No

  N/A

• Owner occupied?

  Yes

  No

  N/A

• Renting?

  Yes

  No

  N/A

• Vacant?

  Yes

  No

  N/A

Design Type.

• Single Level

  Yes

  No

  N/A

• Double Level

  Yes

  No

  N/A

• Multi Level

  Yes

  No

  N/A

• Split Level

  Yes

  No

  N/A

Building Type.

• House

  Yes

  No

  N/A

• Flat

  Yes

  No

  N/A

• Unit

  Yes

  No

  N/A

• Townhouse

  Yes

  No

  N/A

• Apartment?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Time of Occupancy

Construction type.

• Brick veneer

  Yes

  No

  N/A

• Concrete panel

  Yes

  No

  N/A

• Concrete block

  Yes

  No

  N/A

• Fibrolite

  Yes

  No

  N/A

• Weatherboard

  Yes

  No

  N/A

• Solid board (monolithic cladding)

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Roof type:

• Aluminium sheet

  Yes

  No

  N/A

• Hardie sheet

  Yes

  No

  N/A

• Slate

  Yes

  No

  N/A

• Metal tiles (decromastic)

  Yes

  No

  N/A

• Corrugated iron

  Yes

  No

  N/A

• Concrete tile

  Yes

  No

  N/A

• Metal deck

  Yes

  No

  N/A

• Terracotta tile

  Yes

  No

  N/A

• Super six (asbestos)

  Yes

  No

  N/A

CLAIM DETAILS:

• The damage was discovered by: on the:

Special Instructions:

MAKESAFE INSTRUCTION:

• MakeSafe Required

  Yes

  No

  N/A

• Type of MakeSafe

• Without Prejudice Instruction

  Yes

  No

  N/A

MAKESAFE CONTRACTOR DETAILS:

• Contractor:

• Northstar Group Appointed?

  Yes

  No

  N/A

• Contact Name:

• Contact phone number:

Second MakeSafe Contractor Details:

• Contractor:

• Jae Services appointed?

  Yes

  No

  N/A

• Contact Name:

• Contact phone number:

EMERGENCY SERVICES:

• FIRE SERVICE

  Yes

  No

  N/A

• Are the fire service preserving the scene?

  Yes

  No

  N/A

• Incident report number:

• POLICE

  Yes

  No

  N/A

• Are the police preserving the scene?

  Yes

  No

  N/A

• Incident report number:

GENERAL COMMENTS:

• Comments: