Title Page
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Document Number
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Client
- Waltham Forest Housing, 2d Fulborne Road, Cedar Wood House, Walthamstow, London E17 4GG
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Conducted on
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Supervisor
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Full Site Address
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Block UPRN Number
INFORMATION REQUIRED FOR THIS SURVEY
Inspection Signature & Detail of Supervisor
THE EXTENT OF LIABILITY OF THE SIGNATORY IS LIMITED TO THE SYSTEM DESCRIBED BELOW
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I being the competence person responsible (as indicated by my signature below) for the inspection and checks for the Communal landlords electrical survey.
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Tick as Applicable
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Name
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Position
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Signature
PARTICULARS OF THE ORGANIZATION INSPECTING THE SYSTEM
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Aston Heating T/A Aston Group - Moss Lane, Romford, Essex. RM1 2PT
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This form is based on the model in Appendix 2 AQUA AIA.V1
System Check List ....
INSPECTION - Any immediate action to be noted in addition to the below comment box and raised to Astons repairs team
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Photo of front of building
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No of floors
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No of stairwells
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no of final exits
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Escape signage installed and correct
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Intake notice label to notify electrical cupboard
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Please ensure that all items below have a photo showing that the information etc is present.
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Type of luminaries installed
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Luminaire containment type
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Lock type to intake cupboard
- FB1
- FB2
- FB3
- FB4
- LBWF
- Multi lock
- Other
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Landlords consumer unit Make
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Landlords consumer unit type
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Site has EM test key facility
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Time clock type
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Other lighting controls
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Lateral supplies
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Main distribution for supplies
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Intake rubber matting installed
Visual Check Building
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Please walk through building and check for any issues that may be visible to corridors, stairwells, main intake cupboard
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Defects requiring attention (PUT N/A if not applicable)
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Inspection completed
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Survey form to be upload to ACIMS
