Information
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Insert Property Address:
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Client / Site
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Conducted on
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Prepared by
Quality Assurance Form
17th Edition Compliance Checks
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ALL DETAILS BELOW MUST BE COMPLETED IN FULL AND ACCURATE
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DPI Switch Installed @ Incoming Supply?
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Main Earth
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MAIN EARTH NOT COMPLIANT PLEASE REPLACE
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MAIN EARTH NOT COMPLIANT PLEASE REPLACE
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COMPLIANT
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Main Water Bond
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NOT COMPLIANT PLEASE REPLACE
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COMPLIANT
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Main Gas Bond
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NOT COMPLIANT PLEASE REPLACE
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COMPLIANT
WORKS TO BE COMPLETED
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Are there any additional works required?
Additional Works
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Additional Works
- Fuse Board Upgrade
- Bathroom Extractor
- Kitchen Extractor
- Smoke Batteries
- Replace Smoke Detectors
- Front Welcome Light
- Rear Security Light
- Code 1 Defect
- Code 2 Defect
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Image of additional works
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Would any additional comments be helpful?
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Comments:
DECLARATION
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I can confirm the works noted above are a true reflection of required works.
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Inspection Completed By:
Customer Satisfaction Form
CUSTOMER DECLARATION
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To be completed with the tenant present:
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Did The Engineer Arrive On Time?
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Was The Engineer Polite And Helpful?
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Was The Engineer Smart And Presentable?
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Has the engineer explained what works are required and why?
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CUSTOMER DETAILS:
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Customer Name:
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Address:
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Please Sign Below:
Please Confirm The Fridge/Freezer Have Been Reconnected And Are Fully Functional -Corsan (Northern) Ltd Take NO Responsibility For The Fridge/Freezer.
In The Absence Of The Occupant The Installing Engineer And The Supervisor Must Confirm The Fridge /Freezer Are Connected And Working. -
Customer: