Title Page
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Surveyor Name:
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Date of Visit:
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Property Address:
Inspection Details
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Nature of the concern that has been raised:
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Summary of the inspection findings:
Hallway
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Any signs of damp or mould found?
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Location and severity of the dampness/mould found:
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Room Temperature:
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Humidity level recorded:
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Details of any external influences:
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Details of any internal influences:
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Details of any other contributing factors:
Lounge
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Any signs of damp or mould found?
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Location and severity of the dampness/mould found:
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Room Temperature:
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Humidity level recorded:
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Details of any external influences:
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Details of any internal influences:
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Details of any other contributing factors:
Kitchen
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Any signs of damp or mould found?
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Location and severity of the dampness/mould found:
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Room Temperature:
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Humidity level recorded:
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Details of any external influences:
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Details of any internal influences:
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Details of any other contributing factors:
Bathroom
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Any signs of damp or mould found?
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Location and severity of the dampness/mould found:
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Room Temperature:
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Humidity level recorded:
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Details of any external influences:
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Details of any internal influences:
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Details of any other contributing factors:
Bedroom 1
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Any signs of damp or mould found?
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Location and severity of the dampness/mould found:
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Room Temperature:
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Humidity level recorded:
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Details of any external influences:
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Details of any internal influences:
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Details of any other contributing factors:
Bedroom 2
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Any signs of damp or mould found?
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Location and severity of the dampness/mould found:
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Room Temperature:
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Humidity level recorded:
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Details of any external influences:
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Details of any internal influences:
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Details of any other contributing factors:
Bedroom 3
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Any signs of damp or mould found?
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Location and severity of the dampness/mould found:
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Room Temperature:
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Humidity level recorded:
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Details of any external influences:
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Details of any internal influences:
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Details of any other contributing factors:
Bedroom 4
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Any signs of damp or mould found?
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Location and severity of the dampness/mould found:
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Room Temperature:
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Humidity level recorded:
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Details of any external influences:
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Details of any internal influences:
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Details of any other contributing factors: