Title Page
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
Time and Date of survey
-
Name of Medway Council Inspector
- ADAM SPOKES
- LES WHITE
- SERENA GALE
-
Property address
-
Tenants Name
-
Time and Date data logger has been installed
-
Time and Date data logger will be collected
-
Details of location Data Logger has been left
-
Picture of location of data logger
-
By signing this document I am accepting liability should the data logger get damaged or go missing for the duration of time on this form. I accept that I will be responsible for any repair or replacement charges that Medway Council incur plus a 15% administration charge + VAT.
-
Tenants signature
-
Inspectors signature
-
COLLECTION INFO
-
Time and Date data logger was collected
-
Data Logger collected by
- ADAM SPOKES
- LES WHITE
- SERENA GALE
-
Details of condition of data logger on collection
-
Pictures of Data Logger on collection
-
By signing this form I accept that the details Medway Councils representative have provided in this report are accurate and I agree with their findings.
-
Tenants Signature
-
Medway Council Representatives Signature
