Title Page

Property Details

  • Surveyor Name

  • Date of visit

  • Property Address

Inspection Details

  • Nature of the concern that has been raised:

Hallway

  • Any signs of damp or mould found?

  • Damp or mould?

  • Location and severity of the dampness/mould found:

  • Room Temperature if taken:

  • Humidity level if recorded:

  • Details of any external influences - eves, guttering, roof etc:

  • Details of any internal influences - leaks, poor ventilation, lack of heating etc:

  • Details of any other contributing factors:

Lounge

  • Any signs of damp or mould found?

  • Damp or mould?

  • Location and severity of the dampness/mould found:

  • Room Temperature if taken:

  • Humidity level if recorded:

  • Details of any external influences - eves, guttering, roof etc:

  • Details of any internal influences - leaks, poor ventilation, lack of heating etc:

  • Details of any other contributing factors:

Kitchen

  • Any signs of damp or mould found?

  • Damp or mould?

  • Location and severity of the dampness/mould found:

  • Room Temperature if taken:

  • Humidity level if recorded:

  • Is there a fan present?

  • Does this work?

  • Type of fan (Envirovent etc)

  • Photo of fan

  • Details of any external influences:

  • Details of any internal influences:

  • Details of any other contributing factors - cooking with doors open/ not using lids etc:

Bathroom

  • Any signs of damp or mould found?

  • Damp or mould?

  • Location and severity of the dampness/mould found:

  • Room Temperature:

  • Humidity level if recorded:

  • Is there extraction/fan present?

  • Is it powered at the time of the visit?

  • Photo of the fan

  • Is the fan working correctly?

  • Type of fan

  • Details of any external influences:

  • Details of any internal influences:

  • Details of any other contributing factors:

Bedroom 1

  • Any signs of damp or mould found?

  • Damp or mould?

  • Location and severity of the dampness/mould found:

  • Room Temperature if taken:

  • Humidity level if recorded:

  • Details of any external influences:

  • Details of any internal influences:

  • Details of any other contributing factors:

Bedroom 2

  • Any signs of damp or mould found?

  • Damp or mould?

  • Location and severity of the dampness/mould found:

  • Room Temperature if taken:

  • Humidity level if recorded:

  • Details of any external influences:

  • Details of any internal influences:

  • Details of any other contributing factors:

Bedroom 3

  • Any signs of damp or mould found?

  • Damp or mould?

  • Location and severity of the dampness/mould found:

  • Room Temperature if taken:

  • Humidity level if recorded:

  • Details of any external influences:

  • Details of any internal influences:

  • Details of any other contributing factors:

Bedroom 4

  • Any signs of damp or mould found?

  • Damp or mould?

  • Location and severity of the dampness/mould found:

  • Room Temperature if taken:

  • Humidity level if recorded:

  • Details of any external influences:

  • Details of any internal influences:

  • Details of any other contributing factors:

Bedroom 5

  • Any signs of damp or mould found?

  • Damp or mould?

  • Location and severity of the dampness/mould found:

  • Room Temperature if taken:

  • Humidity level if recorded:

  • Details of any external influences:

  • Details of any internal influences:

  • Details of any other contributing factors:

Loft

  • Summary of condition of loft including insulation details

  • Relevant photos:

Externals

  • Summary of externals

  • Relevant photos:

Vulnerabilities for anyone residing at the property

  • Babies

  • Children under 14

  • Elderly persons

  • Breathing conditions such as asthma

  • Details of condition

  • Skin conditions (eczema etc)

  • Details of condition

  • Alergies

  • Details of allergy

  • Weakened immune system (chemotherapy etc)

  • Details

  • Any other issues (such as poverty, overcrowding, other vulnerabilities)

  • Summarise details

Follow on actions

  • Are remedial/follow on works required?

  • Summary of works

  • Is a further specialist report required?

  • Seriousness of issue

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.