Title Page

  • Surveyor Name:

  • Date of Visit:

  • Property Address:

Inspection Details

  • Nature of the concern that has been raised:

  • Summary of the inspection findings:

Hallway

  • Any signs of damp or mould found?

  • Location and severity of the dampness/mould found:

  • Room Temperature:

  • Humidity level recorded:

  • Details of any external influences:

  • Details of any internal influences:

  • Details of any other contributing factors:

Lounge

  • Any signs of damp or mould found?

  • Location and severity of the dampness/mould found:

  • Room Temperature:

  • Humidity level recorded:

  • Details of any external influences:

  • Details of any internal influences:

  • Details of any other contributing factors:

Kitchen

  • Any signs of damp or mould found?

  • Location and severity of the dampness/mould found:

  • Room Temperature:

  • Humidity level recorded:

  • Details of any external influences:

  • Details of any internal influences:

  • Details of any other contributing factors:

Bathroom

  • Any signs of damp or mould found?

  • Location and severity of the dampness/mould found:

  • Room Temperature:

  • Humidity level recorded:

  • 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?

  • Location and severity of the dampness/mould found:

  • Room Temperature:

  • Humidity level 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?

  • Location and severity of the dampness/mould found:

  • Room Temperature:

  • Humidity level 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?

  • Location and severity of the dampness/mould found:

  • Room Temperature:

  • Humidity level 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?

  • Location and severity of the dampness/mould found:

  • Room Temperature:

  • Humidity level recorded:

  • Details of any external influences:

  • Details of any internal influences:

  • Details of any other contributing factors:

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.