Title Page

  • Claim Number:

  • Job Number:

  • Property Address:
  • Date and Time of Attendance:

  • Assessment Attended By: (tenant, owner, REA etc):

Report

Property Details

  • Size: (single, double, split, etc)

  • Cladding: (Brick, weatherboard, etc)

  • Property Type: (commercial, house, unit, apart. etc)

  • Foundation Type: (concrete slab, timber etc.)

  • Roof Type:

  • Main Roof Damage (Yes/No approx. %)

  • Size of Dwelling: (sqs)

  • Overall condition of dwelling:

  • Age of Home:

Hazards

  • Asbestos

  • Mould

  • Any other hazards

  • Makesafe (required, completed)

  • Habitability

Claimed event

  • undefined

Actions following incident

  • undefined

Claimed damage

  • undefined

Building design faults

  • undefined

Maintenance issues (outstanding prior to incident)

  • undefined

Builders opinion of incident and cause

  • undefined

Conclusion / additional comments

  • undefined

Recommendation

  • undefined

Images – Minimum 8 including Front Façade and Roof Type

  • Add media

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.