Information

  • Customer Name:

  • CPM Name:

  • Date of Visit:

Customer Details & Feedback

  • Customers Name:

  • Customers Address / Postcode:
  • Pivotal Invoice Number (PIN):

  • Is The Customer Present?

  • Feedback around Store, Homefit Centre, Delivery and Installer/Team

Installer Details

  • Installer Company Name & Vendor Number:

  • Display RAG Criteria Detail<br>

  • RAG Installer Characteristics & Behaviours

    RAG Criteria
  • Installer RAG Rating

Compliance Check

  • Is the Final Plan & Listing on Site?

  • Installation Type

  • Are there any Gas Works Being undertaken in the Home?

  • Gas Installer Name/Company Name

  • Are there any Electrical Works Being Undertaken in the Home?

  • Electrician Name/Company Name

  • Is All Documentation Valid? (Including Gas, Electrical, Public Liability)

  • "Advise Installer that Payment Will Be Delayed As a Result Of Non-Compliance and Will Be Placed On Hold Until Valid Documentation Is Received"

General Installation Standard Check

  • Are Isolation Valves Present and In an Accessible Position?

  • Are Cabinets Correctly Assembled & Secured To Walls?

  • Are The Worktop Mitres To A High Standard?

  • Have All Cutouts Been Adequately Sealed?

  • Are The Cornice and or Pelmet Mitres To A High Standard?

  • Have The Walls Been Adequately Prepared For Tiling/Decorating?

  • Has The Floor Been Adequately Prepared For Tiling/Flooring?

  • Is The Tiling Level/Square with Cutouts In Corners With adequate Silicone Seal?

  • Is The Agreed Cutting Area Being Kept In a Clean &Tidy State?

  • Number of Employees on Site

  • What's Happening With The Waste Being Removed?

Health & Safety Check

  • Fire Extinguisher Available?

  • Are Customers Existing Appliances/Furniture Adequately Protected ?

  • Appropriate Number Of Dust Sheets or Protection To The Customers Home?

  • First Aid Kit, Accident Book & PPE Evident?

  • Has The Installer Checked For Asbestos?

  • www.hse.gov.uk/asbestos/FAQ

  • Is The Installer Conducting Daily H&S Checks?

Installer/CPM Feedback

  • Installer Feedback:

  • Comments:

  • CPM Feedback/Action Agreed/ Follow Up:

  • Comments:

  • CPM Signature:

  • Installer Signature:

  • Images of the Installation:

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.