Information

  • Document No.

  • Contractor

  • In the case of OTHER please state name of contractor

  • Audit Title

  • Attended By

  • In the case of 'Other' Please insert Full Name of Attendee

PROPERTY DETAILS

  • Date

  • Calling Card Left (Insert Time and Date) provide evidence of card being left

  • Occupants Name

  • Address

DEFECT DETAILS

    Defect
  • Defect Type

  • If 'Other' Please Give Description

  • Description of Defect

  • Image of Defect

  • Works Carried Out

  • Return Visit Required?

  • If "YES" please state details of time & materials required

  • Image of completed works

  • Materials Used

  • Estimated Cost of Materials (£)

  • Contra Charge Applicable?

  • If "YES" state name of guilty party if known

  • Start Time?

  • Finish Time?

  • Total Time (Hours and Minutes) to complete works including travel

OCCUPANT SIGN OFF

  • Print and Sign (Occupant)

  • Print and Sign (Engineer)

  • BY SIGNING THIS FORM YOU ARE CONFIRMING THE WORK HAS BEEN COMPLETED AND YOU ARE SATISFIED WITH THE REPAIR OR THE TEMPORARY RESOLUTION UNTIL THE REPAIR CAN BE COMPLETED.

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.