Title Page
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Office Location:
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Date survey conducted:
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Client:
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Address (incuding postcode):
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Name of PFP representative undertaking survey
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Name of MD representative undertaking survey
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Customer Name:
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Customer contact number(s):
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Customer e-mail address:
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UPRN Number:
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Job Number:
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Any Notification?
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Open Disrepair Claim?
Existing heating system in property
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Existing heating system in property: Gas?
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Please specify
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Boiler location
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Primary heating within kitchen / bathroom
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Do radiators require changing?
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Length of radiator (M)
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Height of radiator (M)
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Single or double?
Bathroom Construction of Floor
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Bathroom Construction of Floor
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Does the floor need to be replaced?
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What is the overall size in (SQM) that needs to be replaced
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Do any floor joists need to be replaced?
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Please give quantity and sizes?
Construction of Ceiling
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Ceiling Construction
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Does the ceiling need to be replaced?
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What is the overall size in (SQM) that needs to be replaced
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Does the ceiling need to be skimmed?
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Please specify SM
Bathroom Stop tap location
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Location of stop tap
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Is the stop tap functioning correctly?
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Does stop tap need replacing?
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Is a block shut down required?
Sizes
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Bath size
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Please specify size (mm)
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Bath flip?
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Bath Panel
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Specify:
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Wall tiles
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Fibo Tiles
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Bath taps
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Specify:
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Wash hand basin, pedestal
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Specify:
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Pedestal required?
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Specifiy size
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Toilet Pan & cistern
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Specify:
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Renew Capping board to windowsill / boxing in.
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LENGTH OF SILL (LM) - W & D
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Renew skirting board
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LENGTH (LM) H & L
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Renew Boxing in?
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Length LM/SM - W & D
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Paint Ceiling?
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Strip wall paper
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Specify quantity
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Re-plaster?
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Specify quantity
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Paint Walls
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SM
OTHER BUILDING DEFECTS (RISING DAMP, WOODWORM, STRUCTURAL, PLASTER REPAIRS, DRAINAGE ISSUES ETC) AND ACTIONS REQUIRED
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CUSTOMER FIXTURES AND FITTINGS NOT TO BE DISCARDED, CUSTOMER TO REMOVE ALL ITEMS FROM THE BATHROOM
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Please add any notes regarding fixtures / fittings of customers, and what has been agreed.
All agreed variations at survey stage to be recorded below.
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Sign off
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MD Group signature
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PFP Signature