Bathroom Survey

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Replacement Detail

• When does the bathroom require replacement? Aim to group replacement kitchens by Scheme, therefore if one or two need replacement but others do not decision is to keep all in or to delay all to future years.

  Select 2017 Programme 2018 Programme 2019 Programme 2020 Programme After 2020

  • 2017 Programme
  • 2018 Programme
  • 2019 Programme
  • 2020 Programme
  • After 2020

• If tenant requests that the bathroom is Not replaced have you gained a signed disclaimer from tenant at your survey?

  Select Yes No

  • Yes
  • No

• Disclaimer to be signed by tenant if they do not want bathroom replaced.

  Sign

Condition Status

• What is the condition of the Bathroom

  Select Satisfactory - no repairs or only a few day to day repairs required, no Health & Safety concerns? Potentially Un-satisfactory - several day to day repairs required, and/or some potential Health & Safety concerns? Unsatisfactory - Lots of day to day repairs, some more major repairs and/or some Health & Safety concerns?

  • Satisfactory - no repairs or only a few day to day repairs required, no Health & Safety concerns?
  • Potentially Un-satisfactory - several day to day repairs required, and/or some potential Health & Safety concerns?
  • Unsatisfactory - Lots of day to day repairs, some more major repairs and/or some Health & Safety concerns?

Design & Layout

• Bathroom design to be like for like

  Select Yes No

  • Yes
  • No

• Vinyl floor area?

Bathroom components in existing bathroom

• 1700 bath

  Select Yes No

  • Yes
  • No

• 1600 bath

  Select Yes No

  • Yes
  • No

• Shower unit only

  Select Yes No

  • Yes
  • No

• Level access shower area only

  Select Yes No

  • Yes
  • No

• Sink & pedestal

  Select Yes No

  • Yes
  • No

• Close couple toilet

  Select Yes No

  • Yes
  • No

• Normal low level toilet

  Select Yes No

  • Yes
  • No

• Electric shower

  Select Yes No

  • Yes
  • No

• Properly fitted Shower on switch over taps on bath

  Select Yes No

  • Yes
  • No

• Built in shower tap unit only for shower

  Select Yes No

  • Yes
  • No

• Bath panel required with end panel

  Select Yes No

  • Yes
  • No

• normal long side bath panel only no ends

  Select Yes No

  • Yes
  • No

• Measurement of floor area

• Any boxing in required

  Select Left hand Right hand

  • Left hand
  • Right hand

Electrics

• Do we need to move or alter light

  Yes

  No

  N/A

• Shaver socket in bathroom

  Yes

  No

  N/A

• Is there an extract fan?

  Yes

  No

  N/A

• Can we install extract fan

  Yes

  No

  N/A

Photo

• Take one or two photos to capture existing layout and view of floor covering and suite.

  Media

Notes

• Write any additional information here