Title Page

General Information

  • Village

  • Name of Village

  • Prepared by

  • Prepared by

  • Person instructing Survey

  • Advise on person instructing survey

  • Conducted on

  • KRT Reference

  • Apartment / Villa No.

  • Property type

  • Floor level

  • Location

  • Property status

Repairs and further investigations

  • Are further investigations needed ?

  • Are there external cut out patches

  • Property Safe to Occupy

  • Is air testing required ?

  • Estimated cost of air testing

  • Are repairs needed ?

  • General photographs

Investigations

    Investigation
  • Location and description of findings

  • Are repairs needed ?

  • Description of repairs needed.

  • Will repairs require a Building Consent

Further Investigations

  • Are Further Investigations needed ?

  • Location and type of further investigations needed.

Air Testing Results

  • Has air testing been previously undertaken

  • Did the result confirm safe to occupy

  • What works are required to allow occupation ?

  • Is further air testing required

  • Location of air testing

  • State 'Other' Locations

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.