Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Claim Number
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Our Reference
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Situation Address
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Insureds Name:
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Insureds Phone Number:
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Process Letter Supplied
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Date Inspected
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Time inspected
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Tenant Details if Applicable:
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Real Estate Details if Applicable:
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Assessor Required:
- Yes
- No
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Name of Assessor:
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SES Attended:
- Yes
- No
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Fire Brigade Attended:
- Yes
- No
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Police Event Number:
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Overall Condition Acceptable:
- Yes
- No
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Risk Assessmet:
- Yes
- No
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Incident Confirmed:
- Yes
- No
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Sum Adequate:
- Yes
- No
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Insured Willing To Proceed:
- Yes
- No
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Building:
- House
- Unit
- Townhouse
- Villa
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Type of Design:
- Single Storey
- Double Storey
- Multi Storey
- Split Level
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Construction:
- Brick Veneer
- Double Brick
- Weatherboard
- Fibro
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Roof:
- Cement Tile
- Metal
- Terracotta
- Tiles / Metal
- Slate
- Asbestos
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Squares:
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Years:
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Recomemdation:
- Accept
- Accept - Client seeks alternate settlement method
- Do Not Accept - Not Covered
- Do Not Accept - Requires Further Investigation
- Unsure - Policy Coverage
- Unsure - Unable to Warrant
- Unsure - Requires Causation Report
- Cancel Claim - Client Wishes to Withdraw
- Cancel Claim - Under Excess
- Cancel Claim - No Resultant Damage
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Details:- The inspection was conducted by Tod Coney in the company of
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Conclusion:- The damage is consistent with the defined event "
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The insured should be advised by the insurer to:-
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Exclusion because:-
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Insureds Scope of Works (Non insurance related repairs)
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Is insured aware of any emergency makesafe procedures not covered by the claim:
- Yes
- No
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Emergency repairs made during inspection or before Insurer approval:-
- Roofer
- Electrician
- Carpenter
- Locksmith
- Tree Removal
- TV Antenna
- Cleaner
- Asbestos Removal
- Emergency Fencing
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Specialist Report Required:-
- Roofer - Inspection / Report
- Solar - Inspection / Report
- Plumber - Search and Locate
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Insureds Email Address:-
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Flooring Letter Required:-
- Yes
- No
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Product Letter Required:-
- Yes
- No
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Notes:-
