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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Insured's 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 internal Assessor if required:-
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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 Assessment:-
- 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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Recommendation:-
- 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 of site inspection and discussion:-
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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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Is it recommended that the claim be declined:-
- N/A
- Yes
- No
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Reason for exclusion if applicable:-
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Insured's Scope of Works (Non insurance related repairs)
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Is insured aware of any emergency makesafe procedures not covered by the claim:-
- N/A
- Yes
- No
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Emergency repairs made during inspection or before Insurer approval (make safe):-
- N/A
- Yes
- No
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Contractor that attended to the repairs that were completed if applicable:-
- Roofer
- Electrician
- Carpenter
- Locksmith
- Tree Removal
- TV Antenna
- Cleaner
- Asbestos Removal
- Emergency Fencing
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Specialist Report Required:-
- N/A
- Yes
- No
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Type of specialist report required:-
- Roofer - Inspection / Report
- Solar - Inspection / Report
- Plumber - Search and Locate
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Insured's Email Address:-
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Flooring Letter Required:-
- N/A
- Yes
- No
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Product Letter Required:-
- N/A
- Yes
- No
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Notes:-
