Report Details

  • Site Reference

  • Country

  • Report Type

  • Scope of Survey

  • Conducted on

Client Details

  • Client Company Name

  • Client Contact Name

  • Client Email Address

Address Details

  • Name/Number of Premises

  • Address Line 1

  • Address Line 2

  • Town

  • Country

  • Postcode

Property Description

  • Site Title Page Image

  • Property Usage

  • Number of Buildings/Blocks/Units

  • Number of Floors

  • Site Description: The property is...

  • General Internal Construction

  • General External Construction

  • Description/Location of Plant

  • Description of insulation to Pipework

  • Roof Access Description

Rooms & Areas

  • Add a new room or area, all rooms/areas within the site will need to be added to the list regardless of whether they are accessible or contain suspected ACM's.

  • Room/Area
  • Description

  • Block/Unit

  • Accessibility

Appendices

    Site Image
  • Site Image

  • Images of Certificates
  • Image of Certificate

Confirmation

  • Consultants Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.