ASI Re-Survey

• Document No.

• Prepared by

• Conducted on

  Date

• Original surveyor

• Original survey date

  Date
• Location
  Address

Re-survey information

• Floor

  Select -3 -2 -1 Ground 1 2 3 4 5 6 7 8 9 10

  • -3
  • -2
  • -1
  • Ground
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• Is another floor to be re-surveyed during this inspection

  Yes

  No

• All parts of this building have been re-surveyed

• Floor

  Select -3 -2 -1 Ground 1 2 3 4 5 6 7 8 9 10

  • -3
  • -2
  • -1
  • Ground
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• Is another floor to be re-surveyed during this inspection

  Yes

  No

• All parts of this building have been re-surveyed

• Floor

  Select -3 -2 -1 Ground 1 2 3 4 5 6 7 8 9 10

  • -3
  • -2
  • -1
  • Ground
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• Is another floor to be re-surveyed during this inspection

  Yes

  No

• This inspection is limited please note that only part of the building has been resurveyed

• All parts of this building have been re-surveyed

• Rooms on this floor

  Select Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Bathroom WC Landing Loft Kitchen Lounge Airing cupboard Boiler cupboard Cupboard Hall Porch Electric cupboard External Other

  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bedroom 5
  • Bathroom
  • WC
  • Landing
  • Loft
  • Kitchen
  • Lounge
  • Airing cupboard
  • Boiler cupboard
  • Cupboard
  • Hall
  • Porch
  • Electric cupboard
  • External
  • Other

• Items seen to be sampled in bed 1

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in bed 2

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in bed 3

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in bed 4

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in bed 5

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in bathroom

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled WC

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled on landing

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in loft

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled kitchen

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in lounge

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in airing cupboard

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled boiler cupboard

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in cupboard

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in hall

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in porch

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in elec. cupboard

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled externally

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Room name

• Items seen to be sampled in other rooms

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Rooms on this floor

  Select Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Bathroom WC Landing Loft Kitchen Lounge Airing cupboard Boiler cupboard Cupboard Hall Porch Electric cupboard External Other

  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bedroom 5
  • Bathroom
  • WC
  • Landing
  • Loft
  • Kitchen
  • Lounge
  • Airing cupboard
  • Boiler cupboard
  • Cupboard
  • Hall
  • Porch
  • Electric cupboard
  • External
  • Other

• Items seen to be sampled in bed 1

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in bed 2

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in bed 3

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in bed 4

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in bed 5

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in bathroom

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in WC

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled on landing

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in loft

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in kitchen

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in lounge

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in airing cupboard

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in boiler cupboard

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in cupboard

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in call

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in porch

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in elec. cupboard

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled externally

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Room name

• Items seen to be sampled in other rooms

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Rooms on this floor

  Select Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Bathroom WC Landing Loft Kitchen Lounge Airing cupboard Boiler cupboard Cupboard Hall Porch Electric cupboard External Other

  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bedroom 5
  • Bathroom
  • WC
  • Landing
  • Loft
  • Kitchen
  • Lounge
  • Airing cupboard
  • Boiler cupboard
  • Cupboard
  • Hall
  • Porch
  • Electric cupboard
  • External
  • Other

• Items seen to be sampled in bed 1

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in bed 2

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in bed 3

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in bed 4

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in bed 5

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled bathroom

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in WC

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in landing

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in loft

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in kitchen

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in lounge

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled airing cupboard

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in boiler cupboard

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in cupboard

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in hall

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled in porch

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled elec. cupboard

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Items seen to be sampled externally

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

• Room name

• Items seen to be sampled in other rooms

  Select NAD Floor tiles TC to ceiling TC to walls Flue pipe Water tank Sink pad Insulation board Cement panel Soffit/facia DPC Undercloak Other

  • NAD
  • Floor tiles
  • TC to ceiling
  • TC to walls
  • Flue pipe
  • Water tank
  • Sink pad
  • Insulation board
  • Cement panel
  • Soffit/facia
  • DPC
  • Undercloak
  • Other

• Name other item(s)

• Photograph each item

  Media

Re-survey Summary

• Has the re-survey covered all of the original scope of the building?

  Yes

  No

• Note which areas have been inspected / not inspected

• Were there any areas accessed that had not originally been accessed?

  Yes

  No

• Note which extra areas have been inspected

• Have these been added to the original report and re-issued to the client?

  Yes

  No

  N/A

• Were any additional ACM's found during this re-inspection?

  Yes

  No

• Note which extra items have been found

• Have these been added to the original report and re-issued to the client?

  Yes

  No

  N/A

• If occupied, did the original surveyor conduct themselves professionally and courteously?

  Yes

  No

  N/a

• Note any comments made

• Confirmed by technical manager

  Sign

• Date confirmed

  Date