Information
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Document No.
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Conducted on
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Survey Type
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Prepared By
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Company: Site Name
Client Details
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Client Address 1
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Client Address 2
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Client Suburb
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Client State
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Client Postcode
Site Details
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Site Address 1
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Site Address 2
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Site Suburb
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SiteState
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Site Postcode
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Site Picture
Building
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Building Age
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Building Use
Exterior Construction
Walls
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Brick
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Block
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Timber Stud
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Steel Stud
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Fibre Cement Sheet
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Plaster Board
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Other
Roof
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Timber
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Flat
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Felt
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Tile
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Concrete
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UPVC
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Colourbond
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Other
Soffits/Eaves
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Timber
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Concrete
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Tile
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Lino
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Fibre Cement Sheet
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Other
Interior Construction
Walls
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Brick
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Block
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Timber Stud
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Steel Stud
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Plaster Board
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Fibre Cement Sheet
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Other
Ceilings
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Tiles
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False
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Suspended
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Lathe & Plaster
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Plaster Board
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Fibre Cement Sheet
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Other
Floors
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Timber
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Concrete
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Tile
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Lino
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Other
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Comments
Samples
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Asbestos Identified
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No ACMs identified at the time of inspection
Sample
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Sample Number
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Floor
- Ground
- First
- Second
- Third
- Basement
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Location
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Product Description
- Fibre Cement Sheet
- Tile
- Vinyl/Lino
- Gasket
- Rope
- Cement
- Pipe
- Black Electrical Backing Board
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Quantity
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Quantity Type
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Extent of Damage/Condition
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Sealed?
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Photo
No Access Areas
- No Access Area
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Description
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Location